HomeMy WebLinkAbout1754 ~~vv~v
ru ?sn wtcw?w?cs• RAMCO FORM t203S
utN uw. rs qua
C
of St Lucie
Before ms. the undersigned authority. personally appeared S~ amuel.. D...Ste~21.e
who, being duly sworn, says that hs is the lienor herein or the agent of the lisnor herein,
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~?~GQ,~... ~t~~C~szVS... x~TG
hisnor's Name1
.whose addressis....?120..Old.Dixie..Hmy.,...F.ort..P.i-erce.,.-•Florida..33450••--•-••--.•--•••--••. E
(Uenor's Addressl
end that in pursuance of a contract with...... COO-k...COriSt.rllGt~OA
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
1 Set Custom Mica Kitchen Cabinets W/Tops
W/Full BackSplash & Striped Doors
2 Vanities W/Tops
Florida State Sales Tax -
on the following described real property in...St..~i1C.7.f~..County
...........................................County, Florida:
(Describe real property wfficisntly for identification, including street and number. ii known) -
Lot #9
R aint ree -
5022 Regina Drive
Fort Pierce, Florida 33450
• owTi~tllkucie County-•--......~:~eue...I~Iapier
of a total value of .Fa.g.hteel>~iundredSeventy.Eight&24/-100--dollars Ii ..-1,8?B..-24....-...-.--•.1
of which there remains unpaid s.....:.1,$?.8...24 for which amount he claims a lien on the above
described real property. .
He further says that lienor furnished the first of said labor, services or materials on
.~l-ay ••7th-----------•--•--.., 798.0-...and the last of the same on....Ma~y-.nth .19...$O. and lif the Tien
i
~ is claimed by one not in privity with the owner) that the lienor served his notice to owner on
i
~ .kJ.ay...9th------------------•-. t9..80., by.-.-United..Sit.ates...Po.stal..Servi.~c~.................................. ,
• (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 .......May.-.9.th,...198A...&...COak•.Construction
(Contractor)
on.......M.a~r..9th 79...80.. by.United...S.tares--P.os.t-al-..S.er-vise.,
(Method of Service)
and additionally, (if the lien is claimed by one not in privity with the wbcontractorl that the lienor served a copy
of his notice to owner on
(Subrmntractor)
on ,19..------... by........--~-----....... .
g ~~~~5 (Method of Service?
196 JUr~ 24 A~ .1= 21 ..EXCEL...KLTCHENS...IDIG. ~~~?i`+~sti?,,, ,
F~EO AMC Ef C4i:hc ~ ~ ~
51: WCI~COUNTY. f 1 A. '
I ROGE POITRAS - '"~8 ~ ~N
CLERK CIRCUIT COJt;T~
Agent
Sworn to and subscribed before me this........-..24-th...._...._....---..day of ...............June-..............-----•~~~E• "`~a
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~ a: / 1
• ~ ~
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Notary Publ' r?„
This Irrslrrrnrt•rrf prrparr~d b~•: Cleone W Lentz ~~~K~TATE Cf t~ORtO~'
~ .t ddrrs.~ P O Box 1296 Mr Kf;ION f~~IIIB 3fi
Fort Pierce, Florida 33454