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HomeMy WebLinkAbout1059 • ru r?ctauuucs• RAMCO FORM /20yS uEN uw. rs sta.a • ~i~xtm ~it~xt t ~Ils of AKSP[, ASMUSS~3, MANAGF~ FOR t ~ '~~u'~ ALLAN BUILDING PRODUG`PS C Before me. the undeni9ned authoNty, personalty appeared who, being duly sworn, says that he is tM lierwr herein or the went of the lienor herein, ALLAN BUILDING PRODUCTS lUenor's Namel whose address is ...........................X20.~...5.~....Indian..Stxes;t,...utuart,..Florida..33494--................. lUenor'e Address) and that in pursuance of a contract with...........•~'8~,~.•C'©NSTRD~OI+~..pp~AA)Y ........................................................................P..Q...Iiauc..3?14,..kbrt..Pierce,..Flarida. X3450.......... , lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately) 14 Sets of Burglar Bars plus installation 197.73 14 Titan Screens 3/0 and 4/0 size 611.46 1 Set of Deluze Screens B Plan 149.66 on the following described real property in ST• LUCIE.........................................County, Fiso9ri8s:•8 (Describe real property sufficiently for identification, including street and number, if known) f 3 X' c,~ ~g,~tet,1~ y `^G~~ ~L / ' owned by . JAI•SF~ GRII•IES.... P.0 ~ ~~..~05$ . ~i.e~c~,...~s7ar~:da~.. 33.4.5Q of s total value of .Nine-• hundref.•fifty-eght..dq~7,zirs-. ~-,eig~~llg,~~ -..958, a.5~ ~ . of which there remains unpaid S..-.........~.58e85 for which amount he claims a lien on the above described real property. He further says that lienor furnished the firot of said labor, services or materials on ............:1~~~79........... ,19.........., and the last of the same on......1-9-~.................... ,19.........., and (if the lien is claimed by one not in privity with the owner) that the lienor served his notice to owner on 1-7--~ Certified Mail lMsthod of Service) and, lif the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to owner on ......:.............~~~,tQA:..C0~1$t~'.Ix~~.A2~..CQIDp~j!.........................................---.........----......---.......... 1-7-80 (Contractor) on t9.........., by--...........Certified.-Mail-.---....-.......-...- , (Method of Service? and additionally, (if the lien is claimed by one not in privity with the wbcontraetor) that the lienor served s copy of his notice to owner on - (Subcontractor) on ,19.........., by.................................................---.............-----..... . (Method of Service) ALLAN BUILDING PRODUCTS 1 ---lienor - - - ~!M., - Sworn to and subscribed before me this.------...1.$lt~h........_..•---. _...day of ~.t.: ~sy ...............19....80. flats: / R,S~t, Sac'w o! R~r 'a t t ~ My Cosna::sswn E,i~ir~ i:u. 1-l, }~:i4 q~( ......'~~.~.L..:~~/..~.,nt.1~~~~.'..7';' b.GA tr AMrwr Fn S Gswtr Cca•.•t \ ~ , This InsltumPn~ prepared by: •-~:~ry . Address' UR ` , ' F-'`.~~~~ ~ • ~