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HomeMy WebLinkAbout0878 1 ~ 511iir8 ~-w »n wctw-w~cs~ RAMCO fORM 120si - uEN u-w. rs ~,aa ~~t`tYit ~Or~ ~'t~Yt ~ ~~,~~,,,~ . ~ ~ r Before ms. ths undsrsigned suthority. ps~sonslly eppsared.~0.~ _C.~,..C..v..c.,~T..~. ~.~~!1~~±_y~~a ~Q-v~~.r'~ J who, being duly swor~, says that he is ths lie~or herein or the agent of the lie~or hs~ein..• ................................. .. . V'!~.~.~....~.J~.S~...~ !. !'l.T...t.!'1.4~ ....~~~".. ~S.- ~ ~ J ~ . ... .... .. ~ ........... ........ ... .. ... ...... .. (Uenor's Nsms1 whoseadd~essis...~.U..v.~....~.Q.......1.~....J.~...~...l..-• .......................... ......... . ....................... . .. .. ... . (Lisnor's Address) a~d thst in pursuance of s cont~sct with ~.~..~'•...~ O~nS 0-n.~..~~, .....~ (~. A... .. ~_J.~,.. .. f_._ _.F{Qrr~,S_ , n ~~ . Gv .r.c~..... m r, . ~. .. m ~.. .../J.!` ~!.4-Q.,...~. ~..~. ~ c.•.l'. c~ .5.4. ~......~ . ~-!~ !^:~. !"3 .......... .. ... . .. .. . .. , lienor tumished labo~, services or matsrials consisting of: (Desc~ibe specially fabricated materials sepa~atety) L i q 1~-~ i w~ F~ X-~-t.. t-c S-- V on the foliowing described real propetty in..4S.T.:....~.V.R4.i..4. ............... ..................................County. Florida: {Oescribe real p-operty suHiciently for idsntification, including strest and number, if known) I.s`.S~ S.~, ~ ~-1-c. 6.~. r IZ ~. ~o r-~- s+ . (- k ~ : ~. ~ ~ c• • L e-~- ~i f,3 I o~ 1~ ~'I ~l ~ 0.,.~4-~ fJo r--E- S+ . L.. ~. ~~, ~. U•.: -~- 5~ ownedby m.r,....`4"...~~5.~....~.!~.~^c-e.-- ~.)..4~c.r~..,So.!'~ .............. ....... . ......................... .... C 30 nnL' ot a total value of Je vev~ ~ ~-.^.~ K.~L... S~.t!......... ~•.•r......... . ~!?dollars (S --- !.-/ 7-, .~. 0......... .- ot which there remains unpaid S-... !~~-'- J. v- -~.•-~• -- ~~-~-••~., for which amount he claims a lien on the abova described real property. He turther says that lienor furnishsd ths fi~st of said labor, services or materials on .. ~~.~=~.-o . b.~. r. a. ~ ....... ..... ..... .19. ~., and ths last of the sams on..1 .J...~.~ .!~'~ f."...~. Q.. . 19.~.. and (if the lien is claimed by one not in privity with the owner) that the lienor served his notice to owner on .1~-4Q~~ ~ ................... ~.y~ . .~- / .. . ......................... . ..19. .....b / ~ ~ . . . ................................. ........_.....-- -~-~-~- -~. ~ ~ Y~ ............. . (Method oi Senrice) and, (ii the lien is claimed by one not in privit~r with the contrsctw) that the lienor senred a cop~ oi his notice to _._.._ / owner on ... ~J.....P.~...~.~ ~.r.. s o. ~ ..:~. c....-~---1~7..~...N..........1.. p.c~..~. ..~.... .. .. ..m~.~ ....... ............ (convactor) • - on..~.Q...C. Q:m.~.r.....-~---..... ~.~- ~-----~-~-~.19..~ by.........~_. ... ..•.-- ~ .. ...................... ~-•--.............. , (Msthod ot Service) and additionally, (it ths lien is c{aimed by ons not in privity with the wbcontractor) that the lisnor servsd a copy oi his notice to owner on ................ ........ on ...... ........ ~~s~Q ~L..~.~. ~~...~ ~J~ Fk~fO ~NC F!CCr(~t[~ ST. LUCIE CGUHT!! f: ~. ROGER POITRAS CLERK CIRC~A1 C~GF; % RfC;.;^ .: ~,,: ;~ ^ ~_ •. . S~~ ~~ Sworn to and subscribed before me this... "1'lii~ Inslrumrrtl prrpnrr•d h~•: ~~~l~r~•ss- ~,~ 345 e~ 876 : rt1 . • ~__ b ~ '_ ~ ' :.. .. .. ........................................ .................................... ........... ........ (Subcontractor) ............ . 19.........., b~................. . ..............._...................... ......... ... . (Method ot Servica) ~.~_~...C.9.~5.~...~.!~~ ~'~.-~-.~.~. .~~~.f"~~l ~ Lien?fr ~ ey. ..-. •• •-.~:..... ..................... ~,./ ~._,.~-e-. ``~~~~~uu~ui~„ ~~ . . Agent 1 '"K S ~ --~ ~~. .. . . ., . , .. ;: ...« ;; -r :., ' •' • " ~~C ~~ . .......__ ~ _.~..,~.na ...... ....1 .......... ... ... ..... ... ......... .. ...,9.~~ '-w~ ^~ : . ..-~ . • ' . ;.;. ~• • - ;.-.:... ,~t~: i .: ~~` ` '~ ~ :~ ~+~• ' ~~ h' ' - ~ ~ r ." ;~i~. ~~~ r ~ - v,f?., • ~A: ~¢ n. •.a~.~ .. ;;.. .. ~'.`~~' - ~.Y~ 7cr.1C ..... ~.C~~ ... N~tary Public V wOt~tt ~v~<< St.:+t ~- 'u•"'0~ 1 9si Mt G~MNUSS~On EIVUtf1 ~ ~ br,om t,~u c~,~„u ~m us.:~Rwa~TE,~s ~~ 1~ 's~ i ~ ~~ ~ ~.. : .. _.:<;..,_._~ `