HomeMy WebLinkAbout0325 `tC~VlIV
~u ~s» Mccw?»~cr RAMCO FORM 120Ya
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~owtt~ of St Lucie
Before me, the undersigned authority, personally appeared ...Bober.t...l~..Cpope=
wha. being duly sworn, says that he is the lienor herein or the agent of the lienor herein...
.....FS.x~C~1..K~,~Gh.~x.1S...~x3C
(Lienor's Name)
whose address is ..2120...01 d. - Dixie..Highway.,. FO-i t.. Pierce, - ~-F.lor-id a • •33434 ~ - • _ • ~ ~ • - • • .
(lisnor's Address)
and that in pursuance of a contract with ...............ROg.er...Cook...................................................................... ,
..Coa~C..Gon;;.tx.uct.razz...-...P..fJ..~ax..3.951.,...~ort..Pierce.,...>lnrida..334SQ .
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
1 -Set Custom Mica Kitchen Cabinets W/Tops
2 - Vanities - No Tops
Florida Sales- Tax
on the following described real property in...S.t..~...LiCie ............................................................County, Florida:
(Describe real property sufficiently for identification, including street and number, if known)
Lot #1 ~ -
Raintree
St Lucie County
owned by ...............Gonk..Gons.tr.uct.inn..---~-------------..........:..................--------.....----------------....-...............
of a total value of .FclUlxt.eenH><xndi[.edSixty.Six&40,1.10U-.-----dollars (S -1.,-4b6-.~40 .................1
of which there remains unpaid s--------------~--.,4tb6-..40..............., for which amount he claims a lien on the above
described real property.
ii
He further says that lienor furnished the first of said labor, services or-materials on
i
~MarEh 5.. .......19...$p,.and the last of the same on....---March-•-5-,~-•---~-•~-- .19gp--.. and (if the lien
r
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
-M.arch.-6 t9-.80.. by....United..St-aces--Post•~O€fce~--........----
(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 ...................Roger...Coc~k..........
(Contractor)
on .................May...S)........................ ---.............,t9..$0.,by----United..States-.Pos.t..Of~i¢e......,
(Method of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor served a Dopy
of his notice to owner on ................~?CCQ1...~.7.t.C1~Bx1S.-.~.nC..................:.....................-
(Subcontractor)
on......... ....MaY...9......... -
. X9.50.... by------.......Iiand....-------•-----..................-----...---- . .
i 4~fj1~6 (Method of Service)
......~X~~~-.. K~.~. NS...xI,YC------------------------
19E0 ~:f;Y -9 PIS Ol .
Lie r
I :ED RtiB ~FLUxJ: U ~ ~ -
s S LUCIE CG;1tiTY.F1.A. - .:~+n•„i
i OG£R POItRAS By .......-....t,+..._. • ~a -
>~fAK CIP.CU11 COUAT Agent • • III,
Sworn to and subscribed before met is......._ .................9.t.h............day of M,a;y...................... : 's
~~~~tt
pi11C r~ 3~ ,
Notary P lic ~ ~
~ 7his /nslrurnr•nl prrpar~d b~•: Cleone W Lejttz ~~1t~K>QAh~~~~ y ~~P •
Arlrl mss P O Box 1296 ~ OOMMKt1ON EIPf18 /O.'~i~ y~yr~`'~
Fort Pierce, Florida 33454 •OfN10N1~11L1+6•