HomeMy WebLinkAbout2487 48'~4'~3 ~
ru un Mrcw?N~cs• RAMCO FORM 120~'a
urN uw. rs nos
~~t11~ ~t~lt
~ -
of St . Lucie
6siors ms. the undersigned authority. personally appeared .............~t~.~~~.~..~`~......rS.~1~1~?~?5.....................-
who. bsirig duly sworn, says that he is the lienor herein or the agent of the lienor herein
...........................................S..d4..4~I.. E~a~t~'~4C..~11G.~................................................................................
(Lienor's Name1
whose address is ..~?Q~...S.Q1,lth.. ~l~k@.'~..,A.Y. eXl~lt~ ~ti. x.. P~.f:X'C.~.f • - • ~?~R.........:.3345......... ,
(Lienor's Address)
and that in pursuance of a contract.with...........:..~~.. ~4~CRO~~tt-7.0X1 .
..................2..~$S...S..kI.....Camea.....-----~:~.....St.....i,>~cS.~...:.F~.a..........334,52.------.............................
lienor furnished labor. services or materials consisting of: (Describe specially fabricated materials separately)
Electrical.Wiring of House.
on the following described real property in ...............................St-.-.•LUCle-.-._••_••-.•--••••-••..----..County, Florida:
(Describe real property sufficiently for identification, including street and number, if known)
2217 S .W. Edison Circle Pt. St. Lucie, Fla.
. Lot 3&4 Block 1632 Section 5 ~ .
• -
Mr. Charles--Draper
owned by
of atotal value of N1YlteeXl,--Ii1,~d~ei~.-S1~.V.~ri:~C...A.Q~.a.r~T~.:.QO~I~rs (S --.-..-.1.970.00............)
of which there remains unpaid S--•-----------------•••..591 00•-••-•-•••. for which amount he claims a lien on the above •
described real property.
He further says that fienor furnished the first of said labor, services or materials on ....}?~blCtis'~X`y....6.......-....
.19...80. and the last of the same on------ M~'C~.. , 19....~Q, and (if the lien
j is claimed by one not in privity with the owner) that the lienor served his notice to owner on
19.--•------• by.............................................--••--•------~---------...................-------................. ,
i (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)
on .........................................................................19........ by-----•-----•-----------------.................-.......................-----
3 (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 •
. 4~4~3 (Subcontractor) ,
z on 7 --~-•2819........... by--
Z~.
(Method of Service)
~ • i' ~ f 1f O R t+£ f : COQ+k l1 .
E ~ '¢i. - ST.L~CIf CGU:IIY.F11?. .................~5...~..jlll...~-r~~CtxX.G...ZX1C..................
jtit , ROGER pO1TRA5
~ c• ~ ~E ',11t CO Lienor -
E r'' ~t.t~ t~ fKGIR
.
~ ~ . Agent
. t. • r..°.~i= t
- ``r~ subscribed before ms this........_ ...22 .....................daY of ..................M~y.. ................19..~.Q....
-
tiobsry A~blic• Florida. State at Large
~ My Commission Expires Feb. 9, 1982 . ~ . ~.J~-~Q~Q.A,D.... _ - .
Bonded thru Jedco Insurance /1~anclr Notary Public
This Inslrumrnl pr~•parwl h~•: Leslie C . Stubbs
.-1rlrlr~•sx 601 South DRarket Avenue 11~~~ P~2~
Ft . Pierce, Fla. 33450 Bc~K