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FLA. 1N7 LAW 4~80~ ~ RAMCO FORM IsOti
Fe 71 i.0e
~~tti'it ~t~n
of ST. LUCIE
~
defog rile, tl+e tundersigned authority, personal{y appeared.-••:~R'....N...._KOBLEGARD, III
who, being duly sworn, says that he is the lierwr herein or # # of the lienor herein,-~....._....~
the sttornsy
FLORIDA HOME INSULATION, INC.
jl'lenor s Name)
3490 Oleander Boulevard, Fort Pierce, Florida 33450
s _
whose addrou •
(lienor s Address)
soil that in I"u• Joseph Esposito, 2907 Forrest
pursuance of a contrail with........... .
Terrace, Fort Pierce, Florida 33450
tenor furnished labor, services a materials consisting of: (Describe speaally fabricated materials separately)
insulation and installation thereof
Six Hursdred Fifty-Six and 00/100ths---- molars (s 656.00 )
of a total value of .
of which there remains unpaid s 100_.__00... ,for which amount he claims a lien on the folbwing
St._Lucie _ .
described real property in County, Florida:
(Describe real property sufficiently for identification, including street and number if known)
Tiki Boutique, Edwards Road, Fort Pierce., Florida
as more particularly described in that certain warranty
deed recorded in O. R. Book 255, Page 1620, Public
Records of St. Lucie County, Florida, said property
` being located in Sunset Park Subdivision.
i
i by Joseph Esposito
i Fie fhxther says that lienor furnished the first of said labor, services or materials on . .
January.._31 80 Januar 31_. 8.0
19-.... and the last of the same on Y 19 ,and (iF the lien
{
~ is claimed by ons not in privity with the owner) that the lienor served his notice to owner on
s
' 19......., by.
(Method of Service)
( (~CU ~ 2= 43 FLORIDA HOME INSULATION, INC.
FtLEC FGL ~f CunUt li ~IenOr
S1.L~CfE CCtI!ITY.iI A.
- 4~S8i~
~ ROGER POlTRAS
a.ERK CIitCJIT CO~nT dy. ~ ~ .
fiiL0A81K~RtF~E~... /1~it31bKAttorney
Sworn to and subsalbed before me this............ 7TH
.............................day of May....._..........., . ___19 80 }
.~l.i t~tii i, T
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r~t~ PAGE~~ ~
BQOIt I?1y commisa~ ; .e r i-18-83
I s ~
f ~ +
%us Ltslniuu'rrl f+rr f?~ir<</ !i?~.R. N . KOblegard, III , Esq ..1 ~ r' L'~ d
P. O. Box 1000 ~ -
Ft. Pierce, FL 33450 ~ `'G~*,A;~:'~
.
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