HomeMy WebLinkAbout1568 X04650
ru? ~sn wECw?«~cs RAMCO FORM 1201h j
ue« u?w. rs naa -
~l~ttm ~'t~n
.
~ St. Lucie
Before ms. the undersigned authority, personallyappeered....~.•....,~am~s...Ha~1WOOd-.•._.-.- i
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein,
Ar.tdo...P.lumb~ing. Supp.iy.,...xt1c..
(Wnor's Name) -
whoseadd?e:sis..6:02•-•S...-..5th.--St:reet,,_.Ft•..--Pierce, F1. 33450
(Uenor's Address) -
and that in pursuance of s contract with..........CUSt•Om••~IOUSing--S~jTSt.eID~...IAC. .
lienor furnished labor, services. or materials consisting of: (0escribe specially fabricated materials separately)
Plumbing Supplies
Copper Tubing, PVC Pipe, Tubs, Lavatories and other related ,
material as ordered from time to time.
_ i
on the following described real property in.......$Z.....1.UClE .....................................................County, Florida: '
(Describe real property sufficiently for identification, including street and number, if known) '
Lot lU Block 1506 Section 2y F
21U0 Madison Street
Stuart, Florida 33494 s
owned by .............Mark..:and..Carol...Rei.nsbexg............................----
i
of a total value of One_.ThQUSand..For.ty...S.ix..,STid...3.~..,./. ~,Q.Q... dollars (f? .a Q4.~.:.31
i
of which there remains unpaid 5-.-..-1 a Q~?.4?.e-~ 1.......... • for which amount he claims a lien on the above
_ _ 4
described real property.
He further says that lienor furnished the first of said labor, services or materials on
- E
{ .SEp.tember...09...-... ,1s..3S.0., and the last of the same a,.September 25-- ,19.. and (if the lien
is-claimed by one not in privity with the owner) that the lienor served his notice to owner on
E
I October.. u7 .............,19.8U.-, by. -Certified Mail
~ (Method of Service)
and, (if the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
owner on ....................SUS.GOJA.'.~Ol1S.~r1$...$}!S.~lei0.8.,...~.Its:........................................
(Contractor)
an...A.ct.albs.r...U7 ...,1s...8.U.by.......Ce.rtifi.ed..Mail---............................
(Method of Service)
and additionally, (if the lien is claimed by one nat in privity with the subcontractor) that the lienor served a copy
of his notice to owner on
ISubcontractorl
SU4650 -
on.... ,18...........by........................................_.........
~ ~C~ ~ i 2/i „.t~ z 7 (Method of Service)
~ ..Ar.teo...Plumbnn_g...S>~.ppi.y..,...Inc..
t ST.I l:Clf. LCCN: Y.f lA. ~ i
` RT:3£R J=Ci i RA5 \
CLERKCiRCUIi^^C~tss~Rj~//y-_-- .R~.,~:J~nk,_ ~r,j-
r:' ~c ~ - 'ii v _ / 13y .:~.J - e4-.tMJ1t1`L ..................:r<....~:.:.. _ .
~P Agent «~j~,.~~{.
.
Sworn to and subscribed before me this...........
~.....d ~s
NOTl,RY PU2LIC STATE On ~,pRlpy~ ~~>r • '
O
AT. URGE ~ ~ ~ i t~.
MY COISf.NSS:CNJ EXPIY~ SEA 21 198 ` ~ •
~ t',...~..~
~1.kD Jiuu G:.:c.J. Ih$ , U:TUERWRITERS c,
- Notary Pub ~ t~, , _
E 't'his /nslrrr??rr•nl prr•pnrr•r/ h.•: Patricia N. Clark ~ : • - -
~ ;Iddr~~ss 6U2 S. Stt3 Street -
Ft. Pierce F1. ,3450