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eetore me. the undersigned autho~ity, personally appeared .. .:; b:l'1'H ' S CAB I Nr:TS, f~
who. being duly sworn, says that he is the lienor herein or the agent of the lienor he~ein,
Sd~I TK' S^Aa I N'r:TS
ILienor's Name)
whoseaddressis 4Q~ S. Fla~~ez~ Ave.. Stua.rt~ Florida 33~+94 .
(lienor's Addressl
andthatinpursuanceofacontractwith •`.:ustom Hausi.n~ ~y~tems , or .Super Home ,
lienor turnished labor, services or materials consisting oi: 10escribe soecially fabricated materials sepa~ately)
~
I~itchen ~abinets _ ~
Kitchen Counter Tons .
Rathroom Vanities
on the followi~g described real property in ~ t. L y ~ 1 e ~ o.u nty County. Florida:
(0escribe real property sufiiciently fo~ identification, including street and number, if known)
I ot 1F 'lock 13 Ft. S~, Lucie Sec. 25
ownedby y:r. ~Tames uazeKamQ
of a total value oi `wrR ~~. 77
of which there ~emains unpaid S. R~~• 7~
described real property.
?iQ 'ienafl.y Rd. Tsnaf~y. P~.~ . 0?670
dollarslS ~~~.77 1 ~
, for which amount he claims a lien on the above
He further•says that iienor furnished the tirst ot said labor, services or materials on rie C. 3~ 19 L~Q
~e„ ~ ~ . 19 ~~ , and the last of the same on
r e C.,~ 19 ~~, and (ii the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on ~Bn.2 t0 owners
lawver and aeain on Jan ?,19~1
~an. 2&~ ,~s ?1 ,by Fersonally to I,awyer~ f~~ail tv swner ~ •
(MethOd Of ServiCe) ~~1 th ~ S~ " ~}
and, (ii the lien is claimed by one not in privity with the contractor) that the lienor serve a copy o hl's~~~f~etO~S
~ owner on ~ U S tOlil }:O t:Slri~yv$;~:'i~;:~ ~ ~
(Contractor) ~
~ on Jan.. ~ .~9 P~ .br ~~:ai~ Smith"s Cahinets =
' (Method ot Service)
and additionally, (if the tien is claimed by one not in privity with the subcontractor) that the lienor served a copy
oi his notice to owner on
S~ ~9fi9 (Subcontractor)
°n ~901 ~~ti~ "9 f17 2= 24 . 19 . . by .
(Method of Service)
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Swom to and subscribed before m~s ~_y+ t._;r . c~y_ . dsy ot . C 19 /~
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