HomeMy WebLinkAbout1060 ~~62 N,
era bT, rrcHwNics RAMCO FORM 120 a,
ucN ?sw. s n~a
t~t~ttm ~t~n
~auttl~ of St, iucie
Before me, the undersigned authority. personally appeared ....5...-.ice. -Ca~~e 11ra2~
who, being duly sworn, says that hs is the lienor herein or the agent of the lienor herein,
r-o.pic- .~?ir...cf....r^t._ .Fier.ce.~.._Ir.~c.._ _ _ _ .
(Lieno?'s Name)
whose addressis3~.~.1.--E..~:1.ern.~~.r....~w~.,.~...F~.,....;'~.e.xc.e.., ..k'z.......33~,;~......__..._ _ _
(Lisnor's Address)
and that in pursuance of a contract with...~Li~.tQI1...~:Q1.iS ~.22~...~iZG.,. a ..3.3RE..-».raB~x'.J.S E~...;~d.....
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rt... Pwe.rc.~.~....k'1.... _ .3~4.50........_.....___._......... _ _
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately) `
Installed heatir,~ and air corditionin~ systerl
Copy of ro ice ~o ov~ner attached.
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on the following described real property in............~t.,....:.UC.~.G
..............................................County, Florida:
(Describe real property sufficiently for identification, including street and number, if known)
: of Z, Elk. ?_,7, Sec. 2°
1290 S . ~ Bays Wore L ~ vd .
fit. St. :ucie~ ;'1. 3~t?-52 ;
- -
owned by e.o...c?.. ~~_o~'1rr ~arl:e : ~
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ofatotalvalueof..~`r-C._..ihCU5~.?3d ~'Yt0 ~unc3re~. fifes;; ..._douarslS..~25~.~.~r'.. _1
i
of which there remains unpaid S..1-25~.-'. (J~ .............,for which amount he claims a lien on the above
described real property.
He further says that lienor furnished the first of said labor, services or materials on
,19 . ~"....,and the last of the same on C. ~ . , 19..: and (if the lien
t '
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
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I
r ctobe~ 1~~ ~ t9''~.. by L 'a~I
! (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 Cue. ~-fin 'r',~us.~r` =.rc_,.,_._anu_.auturban. Cous x.21. _ _ _
s (Contractor)
pn i Cj:OUEZ' ~j.*.. ......................_.........,19.~~_...by...... ..L.e...~• I~:211........_ 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
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of his notice to owner on . _ _ _ _ _ _ _ _ ~
` 5n~j~U~ iSubcontractorl
V ~~VV
...r _ .
t~~,, . 13 ?H ,
(Method of Service) ~
a ='r~pC..~=.~.r..of....Fy.....~'z.E.x'ce,... ~x:c.x .
n nor _ /
5.::. Cassel.~a~!Ksident
Sworn to and subscribed before me this.. _..1-L. ~.tl ....dsy of O.V ~L9.~~,~"`~' ~ r, ~ 19' w'
'I'/ris In~lranu•nf prrpurrvl Irt-: ` if`~{`~ t•
1 rhlr,~...~ _ [iR ~n Motxtr Fub6c, Stage of - . • fir" ~yE,•~F.i'.
- BQ7i(t~~~ P!('f~Vt,Je7 Gy Cosr~i:sioe Ex'irs~198~~