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ri• ~sn MEUU?wics RAMCO iORM 120
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Martin
Betors ms, the undersigned authority, personally appeared...l~lorlvA...Cref+ra.....•
who, being duly,~worn. says that he is the ~ the agent of the lienor herein...-•.•..•
lwma.!.s...TruckLiag..Co.~ e...Inc.
(Lienor's Name)
whose address is .....B.OZ.. Z~03- Stuart f+ Fla. 33494
(Lienor's Address)
and that in pursuance of a contract with.....~`r)rA~t.~V.~...R11Y.~~:A)hp1A~1~...FiA~RXp»~AwA .
lienor furnished tabor, services or materials consisting ot: (Describe specially fsbricatsd materials separately)
Fill dirt ~ Land preparation
on the following described real property in St.•... Z.1lC~a County, Florida:
(Describe real property sufficiently for identification, including street and number, if known)
Lot 7- Port St. Lucie S/D- St. Lucie County, Fla.
2165 IKorningside Drive- Port St. facie, Fla.
owned b ~ BVan~
y •
of a total value of Four-.tl~undted..-8171:~y.- ieYO}1 and. 10/.10Q dollars (x467.10 .....................1
of which there remains unpaid 5... ~ 7.1.4.-....... • for which amount he claims a lion on the above
described real property.
He further says that lienor furnished the first of said labor, services or materials on
s .................19.80.., and the last of the same on....... t"~131...12..•.-.----.......19.80.... and (if the lien
R
~ i~ claimed by one not in privity with the owner) that the lienor served his notice to owner on
~ --Jan 23 84• R~ istered.-nail-------------------------------------
79..... by.........
(Method of Servicel •
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•---•----~--•---•--...............................--•~--
(Method of Servicel
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
` (Subcontractor)
1
......l~8Q-A.?~- 7 -
- (Method of Servicel
fILEC I~hC F.CIiR4E0
3 st.~ucll: caullrY f I.A. Glenn' • Trucki>ag _ Co.-,-.- Inc.-
= ROGER POItRAS
CLERK CIRCUIT COIfR lienor
- ,
.,u::..e isx
pp 411 i
4x7 414 .t ~~V.~a~.r?L ~r,:~ A ent
5 `tom.. ~ ~,a j- , ~ g
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Sworn to and subscribed before me this.... ...,~...tapay~of ..........................19.
. . c_._a~ Z~ otary Public
~
7Y~is /n.fri~ni~•nl ?rr• i~~rr~l h~•: '
/ / G lla~ , Inc.
~q Stuart, 1~'lyt:`~~~494 6U0f(~ PIpE
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