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-1980 SEP 22 AN 14
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BROWARD - ST.-`uclE ct1U`N1Y.F
ROGER POITRA~
CLERK CIRCWT COUR
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BEFORE ME, the undersigned authority, personally appeared ...W~i~~r~~ ..~l....~?GR~........:...
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
2056 Scott Street, Hollywood, Florida 33020 -
.
- (Lienor's Address)
CUSTOM HOUSING SYSTBMS
and that m pursuance of a contract with
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 and plastering
materials.
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of a total value of „ONE .THOUSAND, EIGHT HUNDRED NINETY-EIGHT., and_..28/ .
($~.a898 - z$...........) of which there remains unpaid $ .1.~ $9~...2~.........., for which amount he
claims a lien on the following described real property in .S~...LUCSE County, Florida:
(Describe real property sufficiently for identification, including street and number if known)
Lot 24, Block 91,~SOUTH PORT SAINT LUCIE, Unit. S, ;
according to the Plat thereof, recorded in Plat Book
14, Page 12, of the Public Records of St. Lucie
County, Florida,
/k/a 2134 S E Dolphin Road, South Port Saint Lucie, Florida
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GEORGE ~ DEBORAH SINBINE, JR. ~
Owned by
' - May 16,
He further says that IienQr fumished the first of said labor, services or materials on
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, 19.~....., and the last of the same on ,,,,July..3., 1~0....., and (if the lien is
claimed by one not in privity with the owner) that the lienor served his notice to owner on
. June .16, , 1980. , byCertified Mail 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 NIA 19......., by ..N.IA.... and (if the lien is claimed
. . .
(Method of Service)
bX a materialman to asub-subcontractor) that the lienor served his notice to the subcontractor on
N/A N/A
19......... by ,
(Method of Service)
AD LDIN CE S, IN .
By:
Lienor or Authorized Age ti;.
19th September
SWORN TO AND SUBSCRIBED before me this day of
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ECORD AND RETURN TO: Np~ary Public . tatE ~ lotida~~
TRO~/A3 R SNABADY -
This Instrument prepare~~Z,~lNE ..INTERNATIONAL Bi~1~r ~ ~ , .~l,`~: r~j
l4SS EAST 3UNNtSE ELVD~ ~ ~ a..~.. rr. a c...w ~'~,l f-~~ ~ 4,~`=
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