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~utud~ ui Indian River
&,lore me, tiro undersiynod authority, personally appeared William lasky,Jr. President ~
the agent
` who, born9 duly sworn, says that he rs tl~e lienor herein or ; ?I~rrdllorwey ~ of the lienor Frertlrn,
Atlantic Roofing of Vero Beach., Inc. . -
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whose address is 45'T5 N. U.5. #1, Vero Beach, F1. 32960 ,
fl~ (lrenor's Address)
an.i that in puuuance of a contrail with K.D. Hedin._Construction, Inc.
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P.0. Box 99? Vero Beach, Fl. 32960 ,
honor lurniaiwd labor, serwces or materials consisting o{: (Describe speually fabricated nwterials separately)
Built up Roofing and Sheet metal pertaining to Roofing.
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T~ ^ Five !•!s.^.dred ?hi rt;~dolldrs ~S ~ Q 530 00
of a total value or~~.Citc2n .~~t`iuau..a~ ~ i (
I of whrdr there rerrrauu unp..~d s 3?80.49 (ur which .~nwunt he d.nms a ben an the ~Iluwm9
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desuibed real property in St. Lut:ie Cuunty, Florida. ~
(Describe real properly wlhcier~tly for identnc~alion, indudm~ street .and nun?~t;r d I,rtuwn) ~ _
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'I (see Attached)
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Owned by Robert Fisher r
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He further says that lienor furnished the first of sold labor, serwces or nroterrala on June
' ..-.-.5th- 19.-aA, end the last of the same on . July 1 ? , 1980 ,and (rf the hen
is claimed by one not in privity wah the owner) that the honor served Lii- r~ot~ce to owner on
July 31- 19 80, by Notice to Owner, Registered mail
(Mrthod of Srrvicr)
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Ulilliam Lasky;Jr. resident
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Sworn to and subsvibed before me this -
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• A.I,Ir;.• is(l0 JJ~ PAGE 71 I
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