HomeMy WebLinkAbout1956~ ~
511`766 ~
n• lf)1 MfC11I~MK• RAMCO FORM 120'i
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Belore me, the unde~signed authority, psrsonally appear~d .. SMITH ~S CABI~tiETS D8V ~d M. $li1~
who, being duly sworn, says that ha is the lianor herein or ihs agent ot ths lienor h~~ein. .. .. ..... ... ....... ..
SNiITH.'5..~.ABINETS. Da~~d...di. Smith
(lienor's Name)
whossadd~essis. ..~i9.0.. S.- F1.3g1eY`~ AV6.~ ~ St+~BY't,~~ FlOtf d8 3349~F ~
(lieno~ s Addrsss)
and that in pursuance oi s contract with _..C.l1HtOIII .HOU3~Ylg,,... ..OY'. SI1pB.1^ .~{Qta@.. ..
.. . ... . .......... ... ... ........... .... .... . .... .. ... ... ............... ...... . ,
lienor turnished labor, services or materials consisting of: (Oescribe specially fabricated materials sepa~ately)
Stock Wood Cabinets
Custom Mica Kitchen Counter Tops
Custom Mica Vanity Tops
on the following described real property i~ ~~~....Li~C ~ e- - - ~ ~ -- ~ ~ ~ ~ ~ -. - . . . ... County, Florida
(Describe real prope-ty sufficiently for idsntitication, including street and ~umber, if k~own)
Lot 1 Block 150~ Sec . 29 ...~ ~~,~.f S T-~`` `' e
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owned by ~i _ 1~1h1~t@kl@8c~. .._. ... .. . _ . . . .. .. ... ..
ot a iotai ~ei~e or .Nine HundFed~rhi~ty one 4b/100 doua~: ~s 931,.4b. .. -
oi which the~e remains unpaid S. ..9.31..46... _._ .. , for which amou~t he claims s lien on the above
described real property.
He further says that lienor furnished the first of said labor, services or materials on
Dec .15 , ~9 80.~ , and the Isst of the sams on ~
~eC •. ~ ,19 ~~ , and (if the lien '
is claimed by one not in privity with the ownerl that the lieno~ served his notice to owner on
-
Aec.. 26. . ~s. ~.4. by SMZ~'.S GABIHETS .... ... _ . . .
(Method oi Service?
and. (i( the lien is claimed by one not in privitY with ths contractor) that the lienor served a cop~ of his notice to
owneron Custom Housing or. ..Supe,r Home -. . (
(Contractor)
on DeC . 26 .1980 . . by $1QITN ~ s CA$I~i~iTS , -
(Method of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that ihe lienor served a copy
~ oi his notice to owner on
011
511'766
19~0 DEC 29 PN 12~ 03
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CLEF.K C!r"L1` ~!1Un1
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~ Sworn to and subscribed be(ore me ihis
7~hi.~ In.rlra-n~•n~ pr~•pnr~•~l 1~~:
Iddr.•.~
(Subcontractor) /
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(Methad ot Service) - ~
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