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~ iLA 1f77 MICNAN~Ct'
r U[N IAW. fi 71]W
~l~ttri~t ~f ~t~rt
RAMCO FORM 120 ys
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Befors ms, the unde~signed au~hority, perso~ally appeared ....L?Ol[~. .;~oast. _ j,igh.t i.rg ~e.nt e,~ ,_I
who, being dul~ swom, ssys that he is the lis~or herein w the agent of the lianor harein, .. ............. ....... ...... .....
..G~ld...'.:.o~st _ Li.Rht.~n3...t:_enter,...Irc.~ ........ .......... .
__. __ _. _ _
(Lienor's Nam~) '
wt,oseada~essis. 1004. S~uth_. 4th__3treet.,...Qort___Pie_rce, ..Fl~rida ._ ~34.50. _ _,
~ ILie~oi s Address)
andthatinpursuanceofacontractwith~..~USt~m.__~ous.ing__.Sys.te~.s.~.__.Xn.c_, .. .. _..__.
_. .... _ . . ,
~30E . ~nt.erprl_se_. Rd.. _ Fort._.P.ierce_~... FloridA_ .. ..~345~
__ ___ ... __ _ ,
lie~or tumished labor, services ot matsrials consisting of: (Dsscribe specially tabricated mate~ials separately)
Attic ;e111nQ ventilator
on the following described real prope-ty in ........... St . LuC 2 e . . . . .. . . . . . . . . . . . . . County, Florida:
..., ........ .......... ............ . ......
(Describe ~eal property sufficiently for identification, including street and number, if known)
2312 ~,~,, ~our.tv Ave,
rort St. Lvcie~ ~lorida 33452
Lot 10~ 31oc~ 1~06~ Section 29
ownedby~r.. w . ~IY'S. :~:ark ReinsberQ.. _. . . . . .
- - ............ .. .......... .. .. . ..........._ ... _.._....._.._..
of a total value of ....i tti0 ;rUTIdY'@d ih~Y'tyI dc ~ 1~100 ... dollars (S ...-2.~0. H1 ~
ot which there remains unpaid S.. ....2 ~ Q-. ~.~ ........ ................ .. ., ior which amount he claims a lien on the above
described real property. ~
He further says that lienor fumished the firat ot said labor, senrices or materials on . _ . _ .. .. . .. . .. . . _ . _ .. . . . . . . .. . .
~;ove~~e.r_..3.r~.,...... ,19.g ~..., and the last of the same on.. A.o~~.mb~.: ...3rd.,. .. ,19. ~.Q.. , and (ii the lien
is claimed by one not in privity with the owner) that the lienot served his notice to owner on _..... .._...
Ja.ri.Li~.?'y....9rh.~. -......., ~s...~..1,., bY_.........4;~~.1,.---.........- -~- -~~ . ....... . ..............................___..._............. .. ,
(Method of Service)
and, (if the lien is claimed by one not in privity with the contrector) that the lienor served a copy of his notice to
owneron......:Li.St.Q~..~A.U~~~'1f~..SY.StwIAS.~--.?X1R.. ..................._......_....._.._...... __...........................
IContractor)
on JatlusZ'Y....9t~?.~ .....................................19~1.....by.....''-°il_....................... - ..............._......-- ....,
(Method of Service)
and additionally, (it the lien is claimed by ons not in privity with the subcontractor) that the lienor served a cop~
of his notice to owner on
ISubcontractor)
. _ . 514U02
on......_ ............. ... ..........._................19...........bY..... ........._.....................................................
~ • (Method ot Service)
19BI ~;!i I 6 k'; i i~! 0
.
_. ~old _;;_cas.t. L.is~ht_inc .center*_.__j_nc.
F~L: C ~hf ~' C:i~: f: Li or
s-i~~..~t ccch•~~r:a.
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CLER!! C!:!CG'~T C. ~R' B .L,^.. ~. _ ..~`l. ' ~~" •
. . . . Zl o - _ _ A~ent ;~1~ -;: ~~Q~G
ohn ~~. GuettZer ~li~G~ ~~L~~;d~~,
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Sworn to and subscribed before ms this . _ _~~ . _ _ .. ......_.dar oi ....... .............JRA.Is.AI?~/..:~.r •7 ,.:._~7~.~~~_. " :
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.. . _ . . . . ...... . . ~ L~.R.u,~,L ... . '.~~` ~~ ; ~``
` ~ary Public ,~~ ! •. . ;;.: . ,t''
1'his Jnslrum~vN pr~~por~~d h~•: . ~~"~~~ ~
:lddi~~s.c - .
$~l~34s P~~z~~.o
~:e'ary Peb!ic. S~a!e ot Florida at CatQs
My ~ummissior~ cxpues ~day 31,1981
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