HomeMy WebLinkAbout0402 • i
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ru ~s» yrcw?Mws' RAMCO FORM t20Ya +
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urN uw. r• naa
~i~t'tm ~t~ert ~
of St. Lucie
8efors me, the undersigned authority. personally appeared Leke WOOd s
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein
SOUTHERN CULVERT AN OPERATION OF ST. REGIS PAPER COMPANY •
(Lisnor's Nsme1 -
whose address is• ......................................P.r... O•,•..BoX.•460r--_Pinellas•_,Pdrk.r,..FL.•.•.33565.••_-•,
(Lisnor's Address)
and that in pursuance of a contract with........ Cook Construction Company of Ft . Pierce, I
lienor furnished labor. services or materials consisting oi: (Describe specialty fabricated materials separately).
Corrugated metal pipe and accessories
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on the following described real property in St. LUCie .-,•..,•..County. Florida:
(Describe real property suNiciently for identification, including street and number, if known)
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Raintree Forrest -South of Bell Avenue and East of 25th Street.
As further described as: TCD NBR 29632.000/0 33,35,40 '
That part of West 674' of Northwest ~ of Northwest ~ lying
northerly of canal 71 less West 75' and less North 30' {14.22 acres)
-~or~09-168,169, and 170) St: Lucie County, FL
wn y t
. Cook Construction Company of Ft. Pierce, Inc.
of a total value of Three.•_Thousand•_Seven •-Hundred•_-~wentydotlars (S 3,,-724_,-6.7.......•-._..-.••)
Four Dollars and Sixty Seven Cents
of which there remains unpaid:..3, 724..67 ,for which amount he claims a lien on the above
- described real property. .
He further says that lienor furnished the first of said Isbor, services or materials on
November 29 , X979..., and the last of the same on.....--Januarx•.-10-•..•• , 198-0..., 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)
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 -
(Contractor)
- (Method of Service)
ar+,d additionally, 1if the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy ~
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of his notice to owner on
- (Subcontractor) 1
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on 1 ...........by---...
• - (Method of Service)
X80 lIAR 25 ~;11~ 35
SOUTHERN CULVERT
ftL4ED l~hf! P:COdG1:0 Lien r s
Rtccre v~elr:~o_~ - LeYce ~,Wgod agent
Sworn to and subscribed before me this..._..~._..._day Q~~. ":.......~7~~'v........ Q
.t. .
• , - " Notary Public f
This Irtslrunrr~nl pr~•p~rr•d hr: Jean Finnigan ~t~y Ah ~ p
-iddr,•« Southern Calvert
P . O. Box 460 ~ QoMwsilOtM ~ ~ 0.~
~,28 ~,?yf Pinellas Park, FL 33565 yfllfii ~ -