HomeMy WebLinkAbout1564V~
509'750
flA 1177 MECNAbICf'
l~lN /AW. If 717 W
~t~tim oaf ~t~~
RAMCO fORM 12047
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Brevard
Before me. the undersigned authority, personally appeared ... Ge.O r.g ~ ...Q 0.b ~.11 b 0-... ~''~ a n.a 9 f: r
who. being duly sworn, says that he is the lienor herein or the agent of the lienor herein. ............................. .
Climatrol_ Sa1es__Inc .............. __ .__ ...
(lienor's Name)
whose address is. ._529. S._Lndus.try._Road _ .......C.oco.a.,...Flor.i.da..3.29.22 . _._. . .
(Lienor's Address)
and that in pursuance of a contract with .......Me r.V e . MC _ M a r t.i n - . _ ... -
......767-.Altura Street .___.. Pt..St .Lucie., ..FL ... _. ,
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
Fabrication and installation of screen pool enclosure
on the following described real property in ............S.t.. LuC.i.e...C.o.un.ty .......... .... ...........County, Florida:
IDescribe real property sufficiently for identification, including street and number, if known)
767 Altura Street Pt St Lucie, FL
also known asLot 20 Block 6 Unit 3 St Lucie County
owned by _ Merve Mc Martin
ofatotalvalueof Twenty-three hundred eighty-two .. _.douars(s. _ ..._2.382.00 )
of which there remains unpaid S . ~ 5.88' ~~ ....,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
Sept 1.1 ,19 89, and the last bf the same on S e.p t ~.1 , 19.80... and (ii the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on .
_. , 19 _ ,by.. _ . _. ......_ .. ,
IMethod 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.....__.. _.._. _..__ _ .._ _ _... __ ._ ,
IMethod 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
on
.• :~:. ter.
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51fotit~cb ~~
1980 DEC -9 llt4- It# 4 5 . , 9
FILEO RhC ~ECOiiDt It
Sf. LUCK CCUNI Y. Ft A.
ROGER POITRAS
CLERK CtRCti1T ^CO~t,tfi~
- 509'750
__
(Subcontractor)
Y...
IMethod of Service)
Climatro.l Sales. Inc __ _ _.
Lienor
sy ... .._.:.D......_.~. .... --_.
Agent
betoro me this __ . _ _ 3 . __.da f _ ..... Oe b.eT . ... _ _. _ _ .79__$0..
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J.~ v ~~,C '.c, Notary ublic ~
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., n~~j~ir~l~l ~)rr~pnn~rl h1~: George BObi nk0 '101;'kY :.i:L - . ` ~ ,y • J ' ~
,r~ ;,,., ~ 529 S Industry Road 1: ~-= ~~~.,,., .1~,,.,, .....,..... ..: ;
~ ~~~~~ ~~E~56~ Cocoa, F1 on da 32922 E~~;~..; "'
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