HomeMy WebLinkAbout1910 l
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FLA. 1es7 u?we RAMQO FORM faor
re » s.oe
l~~n ~t~ert
~ - . .
~ Martin
6eFon n», the undersigned suthorittr, Personally- a~~eared....rlorman...Creats...........
who, being duly swonw, says That he is the lisnor herein or ~ ~ ~ of the lienc~r herein,,
.....Sr..~,~t7uct ~.8:._TT.aa.Cking...CO....,....IZ1C.............._.........
(lienor's Name)
whose address is.:P...IQ.....Bwc...2QQ3~.~....stuast,, ..F1a....33494
(lienor s Address) ~ .
and that in pursuance of a oonhad with-..DQU.g~.as...~.•-...Si~mtAQxtt;...DBA~.:.Sammons----Cons.truCt.ign
.......2180...~..,.~......St~~.$~~~.s-....PQ~c>:.....St.,.....Luc.i.~, .FLa.....,33.4~.2
lienor furnished labor, services or materials consisting of: (Describe specially fabricated. materials separately)
Fill Dirt
of a total value of-.thto...hundred....eight.een..-&/+0/.100
...................---doNars (i 218.40-....-__... _
of wl~d+ there remains unpaid s-?.~~.•.4.Q for which amount he claims a lien on the folbwing
dssaibed real property in-...S.t.....Lucie .__...-.........:.............._...County, Florida:
(Desvibs real property wF6aently for identification, including street and nwnber iF known) .
Lot 18- Block 541- Section 18 I~~ li~4? -4 i~~i 00
j Port St. Lucie
j FiLEO +~hC Fi. CUti1t :T ~
~ St. Lucie County, Fla. sr~o~ ~a.
2180 S ~ E Stargrass tt_E~t( Ct ~i~?~ eaJ~r
Port St. Lucie
~ 4'7'!961
Owned by..Douglas...J-.--~-Sammons*=: -218Q.. S. E. Stargrass- -~-P-ort-..St-. ~--Luc-ie,----F.la.
Fle further says That lienor furnished the first of said labor, services or materials on .
..NQY.e>nhEL...Zl...._...., 19.7..9., and the last of the same on November...-21 19.7.9.., and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
..............._..........---......,19.---~---. by--......-- _ _ _ .
(Method of Service)
Glenn Trucking ..Go.~----Inc-.......
sy._......!~
- ~ Agent or Attorney
~
..y
Sworn to and wbaaibed bbfore me the- .D:~-.`~~~~s4 ~::,:~y.of. ......19.~... -
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. ~ •y' s Note Public
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r ~ ' ~ npiNtr PUIIK sT~n of FtAttton ~t L/?tbGE
%u lii~rnurr-id m~ ?rui'J l,Y: G lens s ~ C.
l / _ ~ ~ , rr ~Mtsstow ~t~s soar. a t'e:
P. o. Box 2t~t>~3~,9~ - ptao »w o~tK us, uNOa~a,tuna
.L/,/ax= Stuart, Fla.