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ru »n MECw?wicr RAMCO FOAM 120K
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eetore me. the undersigned authority, personally.appeared.....RO~b~r.t..A.....CS8!llt
who, being duty sworn. says that he is the lienor herein or the agent of the lienor herein.....
..Li.ndqui.~.t...#'.~umbng..~.. SuPP.1Y.. C oirP.~?'~Y, ...I nc. ~
(Usnor's Name)
1
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whose address i:.......204'~...Q.z'~ng~..-Ay. anus.,... Ft.._.Pierce, Florida
- it.ianor's Address) ;
and that in pursuance of a contract with....F~$Ylk-. DeThOlt186__ C Ot18trUCt~011•t.•. IriC and~or--_ ,
.......SI3m~,xit0~@..~Dr.~i~sa...xt#.f'r.~
lienor fumished labor, services or materials consisting of: (Describe specially fabricated materials separately)
Labor and material for construction of Seminole Springs
4-plexe~
on the following described real property in.....5'~....LLiC.~@ .......................................................County, Florida:
(Describe real property sufficiently for identification, including street and number, if known!
(63) or 15 A section South ~-21, Township 35, Range 40
2432 South 2~ Street, Ft. Pierce, Florida
owned by------.~sminole...Spr.ings.,...Inc..
of a total value of .S.~,Xty...~.~.~h~.. k1ui1C1.~Ca...$.~.Xt?3/.. Ode dollars iS s $6.~..• ~~................1
of which there remains unpaid S4.r-33~.e 6Q.•:•----- for which amount he claims a lien on the above
described real property.
i
He further says that lienor furnished the first of said tabor, services or materials on ..August.-lb
i
December 4
.19.79..., and the last of the same on.....-..-....................-----..... • 19..~.Q..., and (if the lien
f
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
mail ,
..A,ugu..st.. 27 X97.9..... by............
~ (Method of Service)
and, (if the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
owner on .....-..F.rar~k..~eT~omas.. Const>=ucton._ Inc.
Contractor)
Au st 2 X9.7. by... .....mail........
on.......... ~
- (Method of Service) i
s and additionally, (if the lien is claimed by one not in privity with the subcontractors that the lienor served a copy
of his notice to owner on
4 (Subcontractor)
-
- •
g (Method of Service)
;9:~~C,29 P~1~16 I
-Lindquist•••Plumbing,-&.- Supply. Co.-,-
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e Clt:Al(CiP.%L'ii •.....-r..~ By aa,.s.,.t:,,..-........._................
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Sworn to and subscribed before me this....... 2.~.-......... ....................day of ~ . b ~ 19•.80.-•
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%'l~ia /nslnrnnvrf prr•parwl hr: •i~ ~ l~!~~(eir" ''.,State of Florida at hrge
f ~rrr~yilfr~tf~l}os fapires Apn7 24, 1983
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B 326 P~rCA ~ /wNd b A.wlw Fw to Cr~lrr CwMr