HomeMy WebLinkAbout2330 _ _ _ _ _ _ a ~ _
_
49`7394 ~
ilA 1N7 MECNANIti' IIAMCO iOPM 120K
uEN uw. n 7u.a
~1~tm ~t~rt
- ~
St Lucie
Before me, tM undersigned authority. personally appeared ~ a Y 1 J o ha s-,, • • 8,g~ a it t• • • • • - • • • • - • , • • • •
who. being duly sworn, says that M is the lienor herein a the agent of tM IierEOr herein . •
..C~.imatrol:-Sales ••Inc.~
(Uenor's Name)
whose addressis .............~.25?...5...~.Ad4.St.~F..S4.~~.............~4~.O8s...Florida•- 32922.................... .
iLienor's Address!
and that in pursuance_of a contract with ...............~.AY.fC9.. ~.~...~C~fAP.t4Tl:.............................-•--•--................... ,
---302---N-•--..8......Sa.xis.ld.f:...A.v~t?ua ~ t...S.>r...~uc.~e,...F.~4~ a.a....................................... ,
lienor famished labor, services or materials consisting of: (DescriM specially fabricated materials separately)
Fabrication and installation of screen pool enclosure
on the following described real property in........ S ~--•LuC i•e•,•--HZH~ZR••••,--,•---•--•••--••-•-•---,-•-,County, Florida:
(Describe real property sufficiently for identification, including street and number, if known)
302 N. E. Surfside Avenue Pt St Lucie, Florida
also knoWn•as Lot 67 Block 472 Section 26
Pt St Lucie,
owned by ...............Harry..W ~...Rempton,-•--.......-----------..........---................----.......-•-•-----••-----.....................
ofatotalvalueof.Foray-tWO••hundred twenty-two dollsrsit.........4222.00•
2900.00
of which there remains unpaid s for which amount he claims a lien on the above
~i described real property.
He further says that lienor furnished the first of said labor, services a materials on
r
--•Februa~cy•-a•9 • 19.50.., and the last of the same ~.....Febr•ua,ry-•-24•----- • 19.$.0.., and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
19.........., by..........-.....................................---.-.......................................................... ,
(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
(Contractor) '
(Method of Service)
and additionally, (if the lien is claimed by one not in privity with the wbcontractor) that the lienor served a copy
of his notice to owner on
(Subcontractor)
B
i
f
~ on .........................................................................19.........., by...............--•--.... .
~ 48'7394 (Method of Service,
~ Clime, .,ol.. Sales...Inc....•
I~~ Y 22 AFt 20
Lienor
~ s RAG
R
rpp~~~7RASA. By . ..C .
. ~ fH.ERK CIIICUR COUit Agent
i°
r'
y..
Sworntq~pd 0~...d~~E~i~+iicc.~.~._._. ~-"~"I3..--__dayof I'~ay.---........ ...............19~.Q.
i s
~ - J3 C ,t 7 ~E~..
_ y
- ' ~ ' -.l Q - Notary Public
?'his ht. ~nf ~c'pa~ by: Grace MeadoWS fvJTnRY Pt;sE4C STAiE OF FlCR1DA Ai EAR
• MY CGnMnt~Slv;~ E~PIR:S tiGV 9 19dif
q~lrtrr'~- ~ • ..,,ti, 529 S Industry Road
6tJr1JED 1tiRA1 Gi;.tRAL ~hJS , E,r+Oi.R'.Y~11EtlS
' .''-•y''-~:: J~,` Cocoa, Florida 32922
4'
-w-