HomeMy WebLinkAbout1308s . •o~
ilA 1N7 MECMAwICS'
urw i~w. rs naof
~l~tim ~~ ~t~n
`f
RAMCO FORM 120
of St. Lucie } •
Before me. tM undersigned authority. personally appeered.........~.~~r~e Frederick
.. . .......................
who. being duly sworn, says that hs is the lienor herein a the agent of the lienor herein....... ..................................
_....., GEORGE FREDERICK CONSTRUCTION t INC
. ..................................................................................
(Lienor's Name)
whoseaddrsssis........P~.O. Box 1808, Vero Beach, Florida 32960
(Lienor's Address)
Harold E. Salmon and Pauline Salmon
and that in pursuance of a contract with ............................................................................................................... ,
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
CBS residence
on the following described real property in........-$t..•.. Ll1Cle-._...-._• ............................••--•--.......County. Florida:
• (Describe real property sufficiently for identification, including street and number, if known)
Lot 34, Phase 1, HOLIDAY PINES, according to the plat
thereof, as recorded in Plat Book 18, pages 16 and 16A
through 16D, of the Public Records of St. Lucie County,
Florida.
ownedb Harold E. Salmon and Pauline Salmon? his wife
y ............ ...............
ofatotalvalueof.-sixty eight thousand nine hundred ~~s~ 68,990.00 1
of which there remains unpaid S ~ 3-~ 157-,.32---------------------------- 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 ...Feb......1.8 .,...1.9.8.Q......
. ..... ........................ .19.........., and the last of the same on...PJ.oV.ember ..18....... - , 19..8.II.., and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on ............
.........................................., 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 ......... .......................................................................................................................................•---------
(Contractor)
on ....... ..................................... . .......... ......... 19..- ---.... by:.............- --------...............-------...--- .................... ,
- (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 ........................
5.'01
on .. . ................................................
- i3~0 OED -8 Pig 12= SS
FIL:C jMC FrCOR(1E0
S t.IUCIE Cppl~ t Y. f `( A.
RQGER POITRAS
CIERk CIRCUIT CGUR/L'~
(Subcontractor)
.............. 19........... by.............................----.......................................... .
(Method of Service)
GFORGE.~_.EDERICK- C~ ~~TRUCTION.,...INC-.
.......
G ~~or~e
Sworn to and subscribed before me this........._2.4th ......................day of ....:: ~r ~ •~
.~,~t'. , .....
_ ..,,... . ~ -,1~
_...., .tlrE 8 0
.' '~f'~ .'J.......19.........:.
~.
I~ M~~
This /nslruntNnf prc•pnrrd by: Carolyn Hix ~~ =¢•g~, ~~,i~as
of Geor '"~ } ` '~
r~rlrlrr~ss ge Frederick Const~!~~fon, Inc:
~~~~ P~G~~ P.O. Box 1808 -
Vero Beach, Florida 32960
-~ -
-~z< _ ~~