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FLw. IOb7 LAWO 4'7"~"rS2 ~ 11AMC0 Ioler Iao>, -
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deFore me, the a red .
undersigned authority, pe~Ny ppea
bernp duly sworn, says that he is the honor herein or ~ ~°r't of the lienor herein,,
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GOLD COAST LIGHTING CENTER, INC.
(lienor s Name)
1004 South U. S, Fort Pierce, Florida 33450
whose address . .
(lierlor's /lddress)
and that in pursuance of a oontrsd with.---Luis.-.A...-Casa..:and...D.ituDrah...I---...Cai~a
• (his:..~ti.fE,..-4.46_S..E.....Gal..l.eon..Lane,---Par..t..S-t... Luci e, ...Fl.ori da..33452.)_ ,
senor hrrrrshed labor, services or materials consisting of: (Describe speaally fabricated materials separately)
All labor, services and materials for the installation of a
Woodside fireplace in residential premises located on property
described below. -
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s
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of s total value oF.....SIX HUNDP.ED TNENTY-FIVE AND 84/100-0--- ddlars (s bzr~,$4_-----__-__...) .
of whid'1 there remains unpaid 5625..84..........__.........- -
for which amount he daims a lien on the following ~
desQl~ed real property in .................................St....Luc..ie....._.................---._.........................._ __-County, Florida:
(Desal~e real property sufFideMly for identification, irlduding street and number if known)
Lot 8, Block 245, PORT ST.~LUCIE, SECTION SIX, according
to the P1-at thereof as recorded-in Plat Book 12, Page 36A f
of the Public Records of St. Lucie County, Florida.- -
. - 4'~'T752
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,
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Owned by-~----Luis:..A.•---.Ca1<a.._and----RinQr..a.h...L.,....Cata.~.._his.. wi.fe sT.~uc~~ cc~1r~T ~.rt
`Ci.ERit Cin^iUiT CQ:~~T ~ }
Me fur-thsr says thst lienor Furnished the first of said labor, services or materials~r..~~-~~R~:,:.~-_._..._.....,__~
December 4 19.79 ,and the last of the same on ....~cember -4 1979-.., and (if the lien •
a dainlsd by one not in privity with the owner) that the (ienor served his notice to owner on s
Not applicable because lienor in privity with owner ,
19-........, bY-...----- _ -
- (Method of Service) )
-..-GOLD.. COAST..-L LGHTI NG-.,CENTER-,--- I NC .
x
B ~
`s
e or Attorney
' Sworn to and wbsar~ed.~efa!e ale this......-~.........,~ y~ ..................day oE...~4;;t%'te,ea:x~.~ ..-..........19.~c~
. .
r'a '"4 ~q~~~~
o, r~~; f ~~y7 Pubic
-
.li' ~ - ' = Notary Public. Stara of FlnriOa at large
~ ? try Comm?ssion Ery,ires Apr. 4.1983
Ilia Lutrunan~ pre , a ~
~c"
Addrxr n+is 1wsTrtuMerrr ~ -
f GEORGE t_ WILl1~A6r~~,+~~:.,~~ ` .
g IA. BOX 1414 301 5- 6TM i1 i~~ __.r~ ;
i FQRT ~IERCf_ flOa!~ '