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48289x7 ~ ~
FLA. 1587 LAWS RAMCO FORM 100r
FS 71,.00 .
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Before 111e, the undersigned authority, personally appeared......Norman...brews
who, being duly sworn, says that he is the lienor herein or # tRtx+ttYt # of the lienor herein,
u.l ~.nta.! s....Txttckin~;....Co....,.....Inc.. _
(uenor s Name)
whose address is..-.P...~?......Ht.~x......2003.-....St.uar.C, ..Fla...._33.4.9.4
. (Lisnor s Address)
and that in pursuanos of a contrail with-Etobert .Blackhwrn
. _ _ , t
Ne11or famished labor, services or materials consisting of: (Describe specially Fabricated materials separately)
i
Fill Dirt ~
' i
1
of a total value of...-.F.our_..hundred -Lwenty .fine.. ~ 83/1QO ddlars (i 425.88- )
of which them remains unpaid s 4 2 5 $ 8.. _ . _ _ . ,for which amount he daims a lien on the folbwing
' described real Property in....$ ~.......lru ~.1~ _ _ _ _ _ _ _ ......County, Fbrida:
(Describe real property suF6aently for identification, including street and number if known) -
Lot 12- Block 281- Section 1
Port. St. Lucie S/D ~ 14 ~ ~3
I St. Lucie,County, Fla.
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S~t.t1CIE COllNTY.fI~.
RQGER r01TRAS
ELERK CIttCU1T
60UR-C
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w~r~a ~~t'e~~~~n~
48289`?'
5
Owned by-.Raber.t... D..-.. S~.-..J.oanne -8lactkbur.n.. _ .
Hs further says that lienor furnished the first of said labor, services or materials on - JBn.....2 9.,_--
19.8.0., and the last of the same on ..-.Jar,...2.9 19d0.., and (if the lien
is chimed by one not in privity with the owner) that the lienor served his notice b owner on -
under penalties of perjury I declare (Method of Service)
treat I have read the foregoing and the
a facts alleged are true, to the - Glenn.!.s _Tr.ucki-reg.-Co.,....Inc.
best of~ my knowledge and belief: lienor ~ .
By ~ _ -
- Agent or Attorney
Sworn to end wbsaibed before n1e this ~ ........................day of ~ `..--.t-~,,
..•c.'.f',1t~
n s
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„
RAY ~ - 'a -
k.~.. ; .~~.w.t Notary
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to ~
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%us /,,.un,,,a-,rl /?n/a,rr~ '1':Glenn 1 s Tr~.ckin Co. ~ .,~N
tltf{ •~~/~/n-~~ P.J. Box 2003- Stuart, Fla. 33494. ~qt ~~h~,,b,821~J.ti,,.~t•'