HomeMy WebLinkAbout1059 su~ssa~ y"
r?e »n wircw?Mits NAMCO FORM 120'.
urw few. rs qua
. t~l~tt~ oaf ~t~n
~oiadq of S t . : uc i e
Bofors ms, the undersigned authority, personally appeared a.....ii... Gt~S~:.1Mari
who, being duly sworn, says that he is the lienor herein or the agent o/ the lienor herein,
...Tr.Q~i c.. air... of..ht....Fie.rcc.,..- Irc..._..........._.._ -
(lisnor's Name)
whose address is .......EY-al^.GCE.K'-..i,YQ...,...a.t.....~zG.r.cQ-,....~.)........~.3~f.5J........-...
Ilienor's Address( `
and that in pursuance of a contract with..Cl1S.tQTil..LIG.Ua.ln~....riC...,....3.30.6...iritcrpri~' ~ .id_.- •
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
lrstalled heatir.£, Air Conditioning system
Co~;~ o~ I•otice to weer attached .
t
on the following described realpropartyin..........,~.t.~...-=:1:?CL~' ...................................._....-......_County,Florida:
(Describe real property sufficiently for identification, including street and number, if known)
of 10. ?lk. fit;,, Sec. 25 - r
77? ~~enada .^-.t.
Ft. St. ~ucie: rl. 3jt,~2
~r~~'revr Rolnick, 1726 ~~.i . :;yecrof Ct., ~`t. St.__ uci.e
owned by...-.:...:
of a total value of . L.T1.e.-.='~'?Ob;~.~ d `?V10..~.LLTltixed...lr:.. f 1.i dollars lS -...12~-G...O.Q.... )
II of which there remains unpaid 5.. 1.2.S-r'~' .................,for which amount he claims a lien on the above
i
'i described real property.
He further says that lienor furnished the first of said labor, services or materials on .
s 6~ ~ 12 , 19.~~..., and the last of the same on.....~ C t ....2.? 19..-. ~Ti, and (if the lien
J ,
I
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
f
~ ~.etooer y ...N.........
t (Method of Service) ,
and, lit the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
owner on rr:i.~ ~ ~C.IQ...t::GUS.ir..~...irlC.....aria.....:.1L1~~~,12Y1..-CDi2r:t2.1.
E (Contractor)
C P 1 ..............198Q.-..by...............U.a.-..i:;u1.1...................
~ (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
f G/~ryL.~~ (Subcontractor)
y a7il l V
E
i on . - ...19.........., b
~..-..~....1~ t.. y.......... _
~ ~ v ri+~ ~ . - (Method of Service)
a ~ `=ropic Air cf I't. ~•ierce, ~rc. ~
f , .
{
lle r
s .
Agent _
S. I•:. Cassel>r~q~?;, esi~:ert
Sworn to and subscribed before me this... __-1.7.tr.,. ........__._.day of ....-.i.AX ~ ~ ~ - 19. gL
r - ,,,c v
{Yri• Irr.~frumrnf ~~rnprrrnd h?~: 4i,~'~~"-,,r,. ~ x~~ ~`t~`='
y1t~ r "
P~6E~~ ~ot~n'?~,'~~ ~ - j984
_ ~r Comruru~~lfrrR~'~i~~.
-
- .