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BEFORE ME, the undersigned authority, personally appeared .WILLIAM A. ROGERS
who, being duly sworn, says that he is the lienor herein
(or the agent of the lienor hereinl, Adobe Building Centers, Inc. whose address is ....2056„ 5~4~~
Street,. HollXwoodl• Florida 33020
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(Lienor's Address)
and that in pursuance of a.contract with .......I3AWRS...DEV.EIABMENT••GA~•••••••••••••••••••••••-•••••••••-••••-
lienor furnished labor, services or material consisting of: (Describe specially fabricated materials
separately).
Drywall materials, metal framing materials, screws, misceQ~~~ (0 ~ G 7
small tools, equipment rental and services ~p
5 RO
ER
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TR
SA~
CLERK CIRCUIT COUR
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of a total value of ONE THOUSAND. SSX••HUNORED EIGHTY-THREE, and„ 29/100, Dollars
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($••1,.683:29 of which there remains unpaid $ ~$.9..~~..........., for which amount he
claims a lien on the following described real property in , St. .,Lucie,,,,,,„•,,,,•, County, Florida:
(Describe real property sufficiently for identification, including street and number if known)
Residence: Lot 15, Block 1656, PORT SAINT LUCIE,
section 5, as recorded in plat book 12,-page 15,
15A-E, in the public records of Saint Lucie-County,
Florida, -
~ Also known as: 415 Edith Court, Port Saint Lucie, Florida
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Owned by Ra1P.h Margie...Stone
He further says that IienQr furnished the first of said labor, services or materials on ....A,pril••..•..
, 19..80..., and the last of the same on .....June,•17 fig,-,$0,,, and (if the lien is
claimed by one not in privity with the owner) that the lienor served his notice to owner on i
Aril.- 22 , fg 80, by .,Certified Mail ,and if the lien is claimed by a wb-con-
(Method of Service)
tractor or materialman to sub-contractor) that the lienor served his notice to owner on the privity con-
tractor on ..........~7/..~1 19........, by ........N/..A.........................., and (if the lien is claimed
(Method of Service)
by a materialman to a wb-subcontractor) that the lienor served his notice to the~wbcontractor on
•
~ (Method of Service)
. ADO DIN N ,INC.
By:...........
lienor or Authorized Agent
SWORN TO AND SUBSCRIBED before me this ..8th.. day of Se~temberti, $Q•:.i'•
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Notary Public, Stafe'of Flo~da , L;
' TIFUIIAS K. SII~IIIAU~" ~7'; ;
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Tivis /nsnument prepared by: tfEZZANFi~'E - tNTER;~'ATIOI~AL BL ;
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^d ~ 2455 EAST SU:'VRFSE BLVD. ~ ' 5~~r`~~~;-~'
~ d ess. Coaunissioa ~
e F'T. LAUD~F,Rn.ILF:. FLORIDA 33305 ~ ~p i..~~r~wr,i~a i
BtlOKtit7~ P~Gf QUO #
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