HomeMy WebLinkAbout0193 4bi96'~0
rtw wecxww~cr RAMCO FORM 120Ki
ueN u?w. rs qua
~~tl1t ~t~Yt
~ St . Lucie
8eiors me, the undersigned authority, personally appeared JOYCE • A ...,ROBERTS
t
who, being duly sworn, says that hs is the lienor herein alEyldi>Y~IWOliifiE9i..
(lianor's Name) f
_ ~whoseaddressis......5612-.•Seagrape••Drive•,•••Fort••Pierce•,•••FL 33450•...._...•..-_.-•..--••-•••,
(lienor's Address)
and that in pursuance of a contract with ...Mi chae 1- • •J..•. • Browtl • • • S andTa•. L-,.. • Brown.,•. • h i s• • w i f e
.an d•_James---D.....~n.7~aP...»?d..B~11e...M,... Du~.lap.,...4s.. wife
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
money and services -
g P P rt1l ~ St Lucie .....................................................County. Florida:
on the followin described real roe ~n
(Describe real property sufficiently for identification, including street and number, if known)
Lot 10, Blk. 39, Indian River Estates, Unit plat
recorded in Plat Book 10, page ?5 of the Public
records of St. Lucie County, Florida.
ownedby...James D. Dunlap and_•Belle.•ld.•._Dunlap,_.-_his wife
otatotalvalueof..Three thousand and no/100------ . dollarslS3,000.00 )
of which there remains unpaid S:3x000-~ OQ-.•--------------------------- for which amount he claims a lien on the above
i
G described real property.
_ He further says that lienor furnished the first of said labor, services or materials on Jtla,3! ...~Q.~~,
.19...?9., and the last of the same on...NUY.CmbEr...l.5th.. , 19...?9., and (if the lien
r
I
F 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
1
owner on -
(Contractor)
$ on _ 19..........,by...
(Method of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
x
of his notice to owner on..__
(Subcontractor) ~
'~ri
• on.... 79...... b
4Qe7V I ~ (Method of e~ ` •
_
~ T ` • ^ -
lienor = G S'~a~~•- i_:;
f.. _
a ~9'~~ JUV ~ ~ T17 ~ JL ~ v • f `
fllfl) RNC FECgIWf B Agent ~ .
ST.LtICtEtOIAilY.fllA. '.;per
ftOG£R POITRAS V Wit'
Sworn to and sut~~i~ this 1.....~ .............day of .......J.uI~B........... 's
A~CO~T l'Eltlflftl-_ ~
~ ~ Notary Public !
%'his Insf~nm~•n~ pr~•pnrrd h~~: Joyce A. Roberts woTKY fAALIC STA OF A~IOA ~ ?
.l,l,l,-,.~~ 5612 Seagrape Dr . rY ap~s>~ ~ N ~
s Fort Pierce, FL 33450 ggW ~