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HomeMy WebLinkAbout1073 X95591 C~~~tm ~r~ ,~t~n _ 1980 AUG B 1M ~ 50 Matt Of ~loriDa =I ~ ~ OITR Fl A. BROWARD P A ~ .gRCU1T COUP li[costo.vt:RirlEO._ _495591 6EFORE•ME, the undersigned authority. personally appeared .....WILLIAM A. ROGERS f who being duty sworn, says that he is the lienor herein t . (or the agent of the lienor herein), Adobe Building Centers, Inc. whose address is 2056 Scott Street, Hollywood, Florida 33020 (Lienor's Address) and that in pursuance of a contract with CUSTOM HOUSING SYSTEMS lienor furnished labor, services or material consisting of: (Describe specially fabricated materials separately). Drywall materials, metal framing materials, screws, miscellaneous small tools, equipment rental and services of a total value of ...,SEVEN HUNDRED FORTY-TWO and 81/100------ Dollars ..7.A2.B.l of which there remains unpaid $ .~.T~2...$ l ,for which amount he claims a lien on the following described real property in ...ST.....Ld1CIE County, Florida: (Describe real property sufficiently for identification, including street and number if knownl Lot 20, Block 1581, PORT ST. LUCIE, SECTION 30, according to the plat thereof recorded in Plat Book 14, Page 10, of the Public Records of St. Lucie County, FLorida j a/k/a 2525 S.E. Leithgow, Port St. Lucie, Florida i THOMAS AND REGINA RHODES ~ Owned by May 16, He further says that lienor furnished the first of said labor, services or materials on ~ , 19.80.., and the last of the same on .......May 16, , 19 80 and (if the lien is [ i claimed by one not in privity with the owner) that the lienor served his notice to owner on . . ..........,Ju1ae...21.~ 19...$A., by ..C~>;~.7.~.~~5~...4~d1:~........, and if the lien is claimed by a sub-con (Method of Service) t tractor or materialman to sub-contractor) that the lienor served his notice to owner on the privity con ........N ~i y / ( ~ tractor on 19 b N .~A and if the lien is claimed (Method of Service) by a materialman to asub-subcontractor) that the lienor served his notice to the subcontractor on ( N~A.............. 19......... by ..............N~A.............. . (Method of Service) r ADO t LD G TE RS, INC. ~ ( By. Lienor or Authorized gent Y•. ~ ~ SWORN TO AND SUBSCRIBED before me this day of .....August..... ' ` 31 ; % y~Y.-. ....iF~ ~.,.t.. Notary Public tale of-Florida ~ RECORD AND RETURN TO: - n'y - ~ Tltis /nstrumei:t prepared bv: : ~ of r.,.j~~ at t• • - , TI101fAS R. SHAAADY Address: 'IEZ7.A~i~~E - I\i i.:4y:1T10~.-tL I3L17.,_ ~ ' ~ . } 6i;~K~~ ~~~E1071 2fS:, G~tST ~t':Vt1SE t3Lt'D. F'T. 1.,1t7)F;I(13:1L1;, F'LORJDA 333Q•1 \c`~ - - - , - ~ -