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ru? yaww?cs. ~ ~ ~ 4 RAMCO FORM 12014
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Before me. the undersigned authority. personally appeared .............~OAa~S~.. ~A.~k~~?~~1.t.................
who, being duly sworn. says that he is tM lienor herein or the agent of the lienor herein, .
• Bochenek Ceramic Tile
iuerlor's Namel
60? S.-.Market Avenue; Fort Pierce, Florida 33450
whose address is .
(Lierlor's Address)
• Cata Construction Corporation; Louis C$ta
and that in pursuance of a contract with
lienor furnished labor, services or materials consisting ot: (Describe specially fabricated materials separatsly?
-Tile and Labor in Tub Room and Shower Room
S Lucie .................•--....county. Florida:
on the following described real property in...._
(Describe real property wificiently for identification, including street and number, if known) -
I.ot-14, Block 248 Section 6. Also known as 449 S.E. S~abreeze;
Port St. I•ucie, Florida 33452.
owned by Ca.ta...C.a><ZS.tauat~.on..G.a~po~ca~~on-;~---~,outs-.Cata....-----•-----•-••----•----••--•
ofatotalvalusof .E~ght-• Tittndred•. Fifty-.Seven--•and••80~1.(}~llars~s •857.80•.••.•••••••.•••••-••1
of which there remains unpaid 5..........857.80---•••••••-••-••---•••---.for which amount he claims ~ lien on the above
described real property.
~ December
He further says that lienor furnished the first of said labor, services or materials on
--•---.....26 ........:...............19.:?9.. and the last of the same on.`janUaY'y...14 ,1980..... and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on .....F.~bruB.Y'y.........
..................Z--..................., 1980..., by....... Certi f~ ea Mail
(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 Cata-• Constructi.on.-Corporation---••••..• -
ontractor)
......19.........., by
on....---FPbruarY...~.~--• Certified t~iail
_ (Method of Service)
and additionally, (if the lien is chimed by one not in privity with the subcontractor) that the lienor served a copy
of his notice to owner on
- (Subcontractor)
(Method of Service) C'
- I~~O MAR -4 S~; ~
,,3
.................~QChenek.. ~.e~'~~.. Tile....:........
FICEC I?kti k?_t;~lr;r ~ Lierwr
$LLI:CIE CO,ViY.F[A.
ROGER POITP,tiS -
CLERX C:~CUi~ Ci1;;ti~ By # .
Sworn to and subscribed before me this._........._....._......~............day of ~ tom.. ~ «
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This Ir~slnrmrrrl ~rr•pnrr•rl hl-: ' ..Y~ * ri"ti'-~:: ` ~ 1
Notary Pbip(a, ~ ' o"I Florida ~a
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