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,u? Irrt?u,llts RAMCO FORM 120'-~
l1rN lAW s new
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~otnld~ of St , L uc i e
Bsfors ms, the undersigned authority. personally appeared ~ C;:; ^.e 1.jI1~:'1
who, being duty sworn, says that hs is the lienor herein a the agent of the lienor herein.
~.'roPc off.. Ft.! F~-erce,.. _ _ _ .
(lisnor's Name)
whose addressis..31.1.~..-.=%._~-.~.P.^ndcr...+~Y..~...,...=~.t.~...~h.e.x.G2....x~..... .;j.~~.>C. _
(Lienor's Address)
and that in ursuance of a contract with.. ru=<~.oTi1..~:Oi.iN. ~ "j ~ ~.E ~nt(:~~..:.' ...F{r?.,
p zn~, .~.nc 3~ ,
rt. F~.er~ce,. _-'?-.......334.;9......_..........
lienor furnished labor, services or materials consisting of: (Describe soecially fabricated materials separately)
Trst~', led 'reatin~ a.ir Condtionir_~ Sys i:er;
Copy of i'otice to o:vner attached .
on the following described real property in ~ ~ ! ~-UC 1 e ...........County, Florida:
(Describe real property sufficiently for identification, including street and number, it known)
c;t 33, ~?k. 2u6, :sec. 13
3, 2 ~ Carter we .
Ft. :mot. _ucie, i 1. 3352
owned by?.re{acrick ..Cap e~ ~ ~ j~ _ .
~ ~ p3~...i.ortu~iz-~ ..r~vc ~ ~ . fi.,. ~.iF.„cE.~ ..j.l.
of a total value of . ~.~:E. - `~'j'..C LiS.~~:.C~. =...i.~,t1t ..:.a~T2G~~ e.!~.......... _ . _ ..dollars (S _1 ~.G ~ L _ . _ _ _ )
.
of which there remains unpaid S - ~ .7.~.' ~ .`~.C~ . for which amount he claims a lien on the above F
r
described real property.
He further says that lienor furnished the first of said labor, services or materials on u
U.1.~...
i
, 19 and the last of the same on .j ~ UV ~ , 19.7_ ,and (ii the lien
3~
I
! is claimed by one not in privity with the owner) that the lienor served his notice to owner on . .
I
` l -
19. by.. .
(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 _r.LiC. ~CsI!..-.,01~ii~. -.r:C.e.,._.~~.-r=~%...~.: ~.....~'~.4~r'~.1..9.~~_.~..F;. ~"x'±1a.- _ _
. 1I.V
(Contractor)
t on ;..C~UC~L'- 11... ,19 .~U.,by. .u.:1.....:..2i~..........._ ,
(Method of Service)
~ and additionally, (if the lien is claimed by one not in privity with the subcontractor} that the lienor served a copy
t
of his notice to owner on _ . _ .
(Subcontractor)
StYJ663
on. _ _ _ . _,19. _ _
.by
~ ~•r , g r J (Method of Service)
t ~rcr2c ~:iY of i:'t. Fierce ~r.c.
1 _ _ ;
i , ,
ie or
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A ent
i'°. Cas:,El:~~, Fr~sicier.t
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x Sworn to and subscribed before me this . i 7 CX`i _ _day of ~ Q;ff:~~~>~:~ „ 19 ~ ~ i
('Iris laslrrrn~r•al ~?rr•porrrl In : : ~ ,.f-`~~. 0~..1,~ • ~ - ~S~ ;
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