HomeMy WebLinkAbout1888 - - - -
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4'1'195 ~
?u?. 1177 MECw?N1et' ~ RAMCO FORM 12OV}
uEN u?w. ?s naa
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Bofors ma, the undersigned authority, personally appeared ...........ROYlAld.•A, Bpcheriek ' ,
who. being duly sworn, says that hs is the lienor herein a the agent of the lienor herein,
Bochenek Ceramic Tile
f
(l.ierwr's Name)
whoseeddressis.....60? S. WBrket Avenue; FOrt Pierce, Florida 33452
(Uenor'e Address)
i
Cates Construction Corporation; Louis Cates
and that in pursuance of a contract with
.
and Louis Noa
tenor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
'?'i?e and Labor in Shower Room, Tub Room and Foyer
f
s
on the followin described roal S t. Iuci e
9 property in.........•--• ................................................................County. Florida:
(Describe real property sufficiently for identification, including street and number, if known)
?ot 17, Block 247 Section 6. Also know as 441 S.E. Asbury Lane;
Port t. Lucie, Florida 33452
Cates Construction Corporation; Louis Cates and Louis hoes {
owned by
of a total value of~re•• Thousand Cne Hundred Thirty and dollars is .......1.,.23.0 • $.4...........1
04/100
e! which there remains unpaid ~...1. ~ 130.84 for which amount he claims a lien on the above
s
described rest property.
He further says that lienor furnished the first of said labor, services or materials on DeC @~ber
12......19-. 79., and the last of the same on DeC ember 20 -
,1979...., and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on.-F.4'.bZ't7,.aXy...........
--.............,19~.0...,by.......Corti~ied i~1ai1 -
(Method of Service)
and, (ii the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
°
owner on .........Cates---Cons-true tion•••Corpo Kati on
(Contractor) -
on.---FQbruarY....z.. ........................................1s..80..by.----•~--Certified ?Mail
- (Method of Service)
and additionally, (if the lien is dsimed by one not in privity with the subcontractor) that the lienor served a copy '
of his notice to owner on
Q ~ ISubcontractorl
~
(Method of Service) ~ ,
Bochenek Ceramic Tile j
SLl.~I~ ::r~t'r~z'1
'RCa^~i; o•{~: ~~~~X Lienor
_ _ ~ ~
Sworn to and subscribed before me this ..........................~.--.-.........day f .-.,~~c.~T
~ ~,.....,-,-,._--..19
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This InslrunuvN pr?•purrrl h.•: `-W • ~~y~, ~.,s
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