HomeMy WebLinkAbout2010 PLA. 1067 LAWS ~ ?ORM tia•
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Before me, the undorsigned authority. personally appealed.....
foseph..}h•usoue .
- ~ the agent t ~ - : ~ • ; •
who, being duly sworn, says that he is the lienor herein or ~ of the (ienor herein '
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Di ~l?3S~ild..C.ar
~a:.nt~.on of E ~ -
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1 (Lienor's Name) ~ - -
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whose address is........lf 3L....~i..r:.... l~6th... ,.t..,...biiaa~i•,•..F1., ...33.$1 . .
- ~ (Lienor s Address) ~
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a.•~d that in pursuanco of d ccntract vv~th erini... Gc>rpar-anon
ustle.ilian-.rive.. ~est_ ~?xLn.Beacti,_.Fl. _.33?+JZ..
lienor ft;m~shed labor, services or materials consisting of: (Describe speaally fabricated materials separately)
i.s:~ur and mute,•itz ~ for clearin aYi
g, p ng and site utilities xork
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of a total value oF. Gne--hunnred..farty-one thousand._one :hundredoNars (S ? 41,2,6~..2.~
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~i sixty-r.;,ns and 2S/lOG
of which there remains unpaid s- -53,-~33..1+_~ - for whirls amoun! he daims a lien on the fdlowmg ;
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~'escribed real Properly in- ~.t, ...LR~.i a _ _...:~`1+1E~uhlyt Florida:
1) rDescribe real properly sufficiently for identification, inducting street anal number if known) -
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j v'; vi: .,lA, Hut ~ninson Island, Jensen Beach, Fl.. 33•'+57 ,'r` -
i990 NAR PN C~ 35
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Owned b• ?i~.citl:,r!Oceoi?ri. Partnershi ~lI(~
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He further says that lienor furnished the first of said labor, services or materials on . J~}.y
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i .........i~G,, 19'1.8... and the Fast of the same on ...J¢nu
! ary.... t , i9$p and (if the lien
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~ is daimed by ene not in privity with the owner) that the lienor served his notice to owner on
JF.'~tdU:G~c.r...21 19..9., by. Cerr~,f~eci< MaiZ..........
• (Method of Se?vice)
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..D and .CQr •atiAU .of..Flori.da........._.........
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Sworn to and subscribed before me this .................................................day of
.
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