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ru ~s» Macw?M~cs• RAMCO iORM 120)4 .
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~ St. Lucie
8sfore me, the undersigned authority, personally appeared ....................I,e Sl ~@.• C..-. • StUbbS
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein .
.............................................................S..d~..W..~~~~~r..~~...j~?~
(Lisnor's Nama)
whose address is.........6Q~...~0.11~h...~llAx~~~..AX.~3?,L~E,'.a...........~'.'t... Pt;rce.,... Fla..:......334'.5~..
(lierwr's Address)
and that in pursuance of a contract with......M..S..~?.....~`i.Q.~RQT~t~,QXI .
.....-...2?~$5... S..W,,...~au1eQ .............P:t.... st.l.. Lu~~.e..---F1~..........3345.2................----.................... ,
lienor furnished labor, services or materials consisting oi: (Describe sQecially fabricated materials separately)
Electrical wiring of house.
on the following described real property in St L1,iCle •_••,••.•--,•,.•,•--•-...-...-•-County, Florida:
(Describe real property sufficiently for identification, including street and number, if known) -
2431 S .W . Monterey Lane Pt . St . Lucie Fla .
Lot 6 Block 1644 Section 5
owned by--------------•--...~Y'.r...FZ:~~-.-s~QC~,...~~.:.~.•.~''.... Corpo~caton.).-•-----....................---......---•-•--•-
ofatotalvalueof FouFteen--Hundred••Fifty.•Dollars•••••--•....dollars{s...._1450-,00-•-••.•- _---_1
of which there remains unpaid S ..............~'35 ~ for which amount he claims a lien on the above
described real property.
He further says that lienor furnished the first of said labor, services or materials on Mi~Cir~.: ZS
{
f . 19..8Q.., and the last of the same on-........ AP2'l1...1.8...--.--• ,19... 8Q, 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......-----...................H.QNE---................-------......---------.........-----------•-- -
g ~ (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
(Contractor)
t
,19.--.-....-. by...-•------............. ,
E on .
~ (Method of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
~ of his notice to owner on NONE........---.........................................................
€
e ~~W~ (SUbCOrltraClOr) '
_rr -
¢
on... - 9.-...--- Y
- ~ (Method of Service)
~ ~ r
~Y El r
' ~ 1rt'••+~ ' '1 S1.L~C~ECC::H~Y.f1:•. Lienor
~ ` °,~t } CLERY. CIRCUIT fpi:r By (~,tro/GA...... ~ ..-~IQ4'~:,,e{:.!~...... V./.........
.'~.~c. ('~t'j'~!°`~'`'`yt}'~c` k'C,^.~:3~'~tl""ft1- Agent
a.'iJ - to
1•'sr.
333 `~~iti _~:':~.;.4 ~•t-.~lj
4 ~7T~ .
5 and subscnbed before me this ......................z2.................day of May.......... -....................19....Q.,.
I .#~t'4iltiry Public, Floriua ..,.e ~
MY Commiuion Expires Feb. 9, 198'L
• Bonded thru Jedco Insurance /)gooey - 1~? - Q . ~~"Q . _ . _
Notary Public
This Inslninrrvrl prr+pnrrvl h.•: Leslie C . Stubbs
,~),l~Ir~~s.. 601 South Market Avenue
Ft. Pierce, Fla. 33450 P~f2~`