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FLA. 1Y67 LAWe ~ IIAMCO FOAM tA0•
Fe 71,.Oe
~i~ti~n ~t~~t
6efon me, the undersigned authority, personally appeared .
sworn, says that he is the lienor herein or the agent ~ of the lienor herein,
who. being duly 1 the attorney
• Salvatore Patti
...................._.................................................................................tUenor s Name) i
whose address is .............1.6~4.._S.E.Sandia... Dr...,Port_.;S.t..,._Lucie-..F1a..__......
(lienor s Address)
and that in purwanoe of a oontrad with....M~cs.. Thomas...Clemente
......................'!.857.......S.E.Burgandy_ La....Port St•....Zucie...Fla.......... . ,
{Nnor furnished labor, servioss or materials consisting of: (Dexribe spsdally fabricated materials separately)
Install the on front poach8c back poaches, Inside & outside
the & I,aber
one thousand five hundred &seventy five dol.
...dollars (5..157..00 )
of a totsl vslus o ~.5.~.5--.*
of which there remains unpaid S 5.?`~-•00 for which amount he daims a lien on the Fdbwing
m....st......luci,e.....county . _ .County, Florida:
desar~bed real propefi?
(pesaibe real property wffiaeMly for identification, including street and. number if known)
185? S.E. Burgandy ha. Port ST. hucie Fla.
. 4:~Q8'71
FIIE@ RhC FE CUrUe:U
i SS. t.UC~E CE,UNTY.6lA.
ROG..R POITRAS
CLERI(C~RCUIT C4 ~
~ 1?1r.& Mrs. Thomas Clemente ar^"~t"`~`~'t'•`~--
owned by
9
Fle further says thst I'ienor furnished the first of said labor, services or materials on.... ~e-b~---~-,.....1.980....
19•-----..., and the last of the same on apri~..-~~O 1980 ,and (if the i'ien
a chimed by one not in privity with the owner) that the lienor served his notice to owner on .may . 23.
80 U.S, Postal Service _ -
. .
19........, y . .
( of rvicel
~
i
y
~ AgeM a Attorney
~ s~. ..................da of.... t., ....,..19
sworn to and wbscr~ed before me thrs Y ~ r:;;;~~ ~0
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