HomeMy WebLinkAbout1064 `y?~ 1
5V I~66
r?~ an ~rcwuucs RAMCO FORM 120 `h
urr• i~w rs n~a
(~l~tt~t ~t~rt
x ~
of St. ? ucie
Before ms, the undersigned authority, personally appeared ~~E:1T"ia.n
who, being duly sworn, says that he is the lienor herein or the agent of the lienor heroin, _ .
:?'ropic...~r...of.. j'.t.,... F'i.erce,... ~:c.•.......... .
(Lienor's Name)
.
whose address is...3.~..1.~.~~~-...C.z~.~.~ic~.e.},"..?~~!.~.•.r....,4t.•...F~.~X'G.es...,C~.•- ...j.3~i'JrQ
(Uenor's Address)
and that in pursuance of a contract with C.LiS'~ OT!'i...r:.Q LiS ,1,t
i~;...a K1G... i 33.a 6 .r. ~Qx'~LriS e ..:id . _ ,
Ft,...F.i~rc.~.r...xt,.....3345~............ _
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
installed ::eating << Air Cor_ciitioring system
Copy to notice of owner attached.
on the following described real property in S.t..... '..UC e............... ................County, Florida:
(Describe real property sufficiently for identification, including street and number, if knownl
=_at, 1, ?1.k. 1508,' Sec. ?9
2207 Avalon Rd.
Ft. St, iucie, rI. 3352 _
Calvir. Simor_e ':+'Y'iitehead, ~ S. i::adison t`:ve.., Florha.*:aFar'.~, J.
owned by..:......._.........._
ire '~'fiausar~d ~
:o..rIundre~...~...+w..t~........ douarsls-....12 ~.~~~3 1
of a total value of f. J. 5.
n~
of which there remains unpaid S .12.~ ` ~ 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
~ JBpt . 5 no C ct .
- , 19_'_._..., and the last of the same on......... v , 19...x. and (if the lien
s
` is claimed by one not in privity with the owner? that the lienor served his notice to owner on .
I l..C ~G~Je~ ..~.1>'............_.., 19R.C..... by .............Z.....5.....I:.ai1........................
(Method of Service)
and, (ii the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
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I
owner on ~%'~lY ~O^!..Il:?Yia.~.n~ ...`:C...•...~.St.....~ sder.a.i...cf.. Ft, _P~.erc~....
(Contractor)
~ - -
~ on.~:ct.gger...i4... ..193..~~....b V....J......i~.r'_:1.~i..........
Y............. ,
(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 _
~~L r ~ (Subcontractor)
VV
on _ ................__...............19- .by...._.................__.....
Y
~~j~ ' 3 rr~ (Method of Service)
f
I ^r..op.zc...Air..c~ t ~-.inrce., inc.
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E
~ _ ~ fay. - ~
~ ~ S. Cassel~a~~°.residert
,
~ 19
Sworn to and subscribed before me this. _ _ 17tf,. _.__.-day of i; pYa'1)i ;t:'; ~ .
a.,
f~ota
l•lri~ ln~lrrrmr•nl prr•jiarrrl h~: -.:Gs~,O ~ -
~ttJZJ P16F~~•J lkt,rY PuhCu, sti+;eo~:. ~ C
fbr Commissios E,c~itetr;a;.'tgbl
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