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45'741. ~
ILA. 1957 LAW RAMGO IORM laOr
I. 71 ~.Oe
~l~ttm ~r~ ~t~n
~[osa~ of St. Lucie # . .
Before me, the undersigned authority, personally- appeared .............1~lAL~...PALIL ..Vd~ITLEY,... ESpUIRE. .
who, beirq duly sworn, says that hs is the (ienor herein or of the lienor herein,
the attorney
EXCAVATING AMID PAVING SPDCIALISTS
(Lienor s Name)
whose address is.........-951-.-Cblorado..Ayenue,_-.Stuart,... Florida..-..33494 .
(lienor s Address)
and that in pursuanoa of a contrail with-....-.. QCIaAN._~l~_.13[711,....ll`1C........... _
lienor h,mislled labor, services or materials consisting of: (Describe speaally Fabricated materials separately)
Supply all the sanitary sewer, ptable water and storm sewer systems.
and 6/100 7,6.22.66
of a total va~ue of-. Seven Thousand $x. Hundred ~a!enty-~i~aD _-'jars (S - )
of which there remains unpaid s 7 ~ 622..66.. _ . for which amount- he claims a lien on the Following -
desoribed real Property in ~ LUCIE- County, Florida:
~j (Describe real property wffiaeMly For identification, including street and number if-known) -
Tarpon Bay Villas, la~~own as the South 6 acres of Government Lot 10
Section 15, Township 37 South, Range. 40 East, St. Lucie County, Florida.
190 4-~ - 7 Ate ~ 2 0
F11t4 ttiC F:Glir~~t U
S ROGER
POITfIASA.
• CLERt(CtttCUtT COURT
~ .at7d Alberta He 4~~5~I41
Andrew A, ..Hen... nry, .his wx~e.. _ _ _
Owned by
He further says that lienor Furnished the first of said labor, services or materials on. .
I ~~t•-~0.--------- 19.7`-, and the last of the same on ....-MdC'Ch . l~. 19 _~0, and (iF the lien
g is claimed by one not in privity with the owner) that the lienor served his notice to owner on P~/A
19 by.. _ _ _ _ _ _
s (Method of Service)
- , . Excavati and_.Pa~r' .~alists
.
i
.a
' s'-~-/
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_
- Xr Attorney
-
Swom ~"o and wbsaibed before ms this_ _ ................._.....day of _ 19
S
!
F Notary Public
NOIAR'f fIBIIC S~AiE ;?f FtC2~0A qT
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