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BEFORE ME, the undersigned authority, personally appeared .....,~~ILLIAM A. ROGERS
who, being duly sworn, says that he is the lienor herein
(or the agent of the lienor herein), Adobe Building Centers, Inc. whose address is .205~fi..Scott........
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~k.....Hi;7l~ ~.y.WAAd.,... Florida..33 020. .
. (Lienor's Address)
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and that in pursuance of a contract with .......~~5..4Fi.Y.~k4#'~N.T...~Q,?
lienor furnished labor, services or material consisting of: (Describe specially fabricated materials
separatelyl.
Drywall materials, metal framing materials, screws, miscellaneous
small tools, equipment rental and services
of a total value of ONE„ T~QjJ$~]J~ „~~NIr~X-S~V.,Sil..amd.. Q~/....IAQ Dollars
($1.,.(19.7...AS.........:) of which there remains un id $ . for w ich amount he
I~ .eaa..sb h
claims a lien on the following described real property in St,=,,,I,~uc~g,,,,,,,,,, County, Florida:
(Describe real property sufficiently for identification, including street and number if known?
Residence: Lot 22, Block 756, PORT SAINT LUCIE,
section 18, as recorded in plat book 13, page•~
17, 17A-K, in the public records of Saint Lucie .
County, Florida.
- 1980 SEP 10 Aid I I = 4 7
- - (~~~j FILED AFt? FECOROEO
'~r++~~++ SLLI~IE COUVTY.fLA.
ROGER POtTRAS
• CLERK CIRCUIT CL~URT
~ Owned by Duane.,and„ Sylvia..H~u~B~I ~ c~h~ 1•rF~~.E~..: s:
He further says that lienor fumished the first of said labor, services or materials on . Mai 1
, 19..80.., and the last of the same on .......June.•17__••.._.•.__., 19..80.., and (if the lien is
claimed by one not in privity with the owner) that the lienor served his notice to owner on .kfdy...~.....
19.80..., by ...`r.~r~~f.~~41...1'~~~~...:...., and if the lien is claimed by a wb-con-
(Method of Service)
tractor or materialman to wb-contractor) that the lienor served his notice to owner on the privity con-
tractor on :...:...N,IA 19........, by 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 wbcontractor on
N/.
A 19......... by ~1~~..................
f (Method of Service) t.
A ILDIN EN S, INC.
By• .
Lienor or Authorized Agent
SWORN TO AND SUBSCRIBED before me this ..$.~Il.. day of ...S~R~,e~t..x.... 1 .~0... .
i,~•
otary , State~of.Floltda. !
~y. , . THO.11~15 R. SU.1T1,1UY r ~ ,
This /nstrumen7 ~iiep~~ANlhi; - Ii~TER,\ATlONAL BLDG. Q ~ ~ ~ -
2455 EAST SUNRISE BLVD. „0~ Pi~ic•„6tate-~ RO"~'~•~
~ ddress:
if'T. LAUDBRPALF,. FLORIDA 33304 ~
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