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ru? ~m Mrcwwics• RAMCO FOAM 120?'a
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. ~i~tm ~t~n
~ St. Lucie
Before ms. the undersigned authority. personally appeared.........~r...Jame6..H8ywoOd--------
who. being duly sworn. says that hs is the lienor herein or the agent of the lienor herein.
A~~~o..P~:u~1~t.7~ttg..S.uipF.1.y.,..".xz~c.,
(~ienor's Name)_
whose address is........f~02...5......~.~1>,...S.Xxeat,...F.t.....~'i~~xc~,...F.ior.i.d.a.....335.0
- (Uenor's Address) `
and that in pursuance of a contract with..........~-l}f':.~DAI..~RLl1~.~.~1$...~y.S.temUS.,...I,11C... ,
lienor fumisheQCO[bOG7~144cSl100070'natsrials consisting of: (Describe specially fabricated materials separately)
Plumbing Supplies -
Copper Tubing,-PVC Pipe, Tubs, Lavatories and other related
material as ordered from tune to time.
on the tolk?wing described real property in......$.t.,...LtlE~B ..................:....................................County. Florida:
(Describe real property sufficiently for identification, including street and number, if known)
Lot 14 Block 1102 Section y
21j Kimball Circle
Port St. Lucie, Florida 33452
owned by.......1?aneil..A....Pee..dle...---•
of a total value of TuIQ..btundred...Sxxty....L.i.gth..and...8.6/.1QO..dollars Is .26$.86
• 268 86 ;
of which there remains unpaid 5 for which amount he claims a lisp on the above ~
described real property. ;
" He further says that lienor furnished the first of said labor, services or materials on
- r
September - 22-_----.-_ , 79 ~U..-• and the last of the same ~Se-ptember,_ 22-•._"---. , 19.~U..., and lif the lien
E - is claimed by one not in privity with the owner) that the lienor served his notice to owner on
Qc.to~?~~...V.7.--•------------~. ~9$.l_?...., by....Gertf~d...~~~
(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 ...........tvllStOTII..H0~1S.~.~g...S.~i,Brlr.emS.,.---IaC..........---•------------ -
(Contractor)
on...October..07 X9.$0..., by...[;:er.tified...Mai.l.......:............--------- ,
(Method of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
of his notice to owner on ~
(Subcontractor) ; -
504S5Z
on , 19..-------• by--
-"--(Method of Service) ~
r~.~~~ec~ 24 ~t~ ~ 27
~ FiLED Rn6 f.:Cf,; i p
Si:LUCIEGOi:NTY.fIr.. •.-..Ar.t,co...Plumbing.-.Supply..,..-inc............
ROGER POITf"+AS Lienor f
CLEFK CIFCUf1 C^J^ T _ _ -
F,.•.. - . _ r-- - fay .~.~~--....~:.~,ti.- ~ . ~
Agent rl.,\~1.t~~f i
Sworn to and subscribed before me this.._.__......
of i.i 4
_ t. • 1
NOTARY Pt1ZUC STATE OF ftJRIpA AT LAt~ - ~ ~ .
MY CO.:SM ~ . 1
d0t'iDiD 1.<S 24 19 • ~a-~ c
TH2U G«v~;,;! U'.~~_x:•,Rt NOtary'.
7hi~ In~frunu•nf prr•pnrrd hy: Patricia N. Clark `~~`~~~s~~' -%~,.;~f,~ "
:id~h~•~~ 6U2 S. 5th Street 'i~~ -
• ~ `~C~Q Ft. Pierce, Florida :33450 "
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