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iLA. IY67 LAWS FS 71~.00 515201 ~~ 3` l1AMC0IORM 12p• ~l~tt~t ~af ~t~ert ~a~t~ of ~to,~~ ~rQ~ of s~rr wc~ Before me, ths u~de-signed aulhority, persorwlly appeared ~~'+~• J~~`1~1 who, bein9 duly sworn, says that hs is the lienor herei~ o~ ~ ~h~~ # of the lienor heroin, ........ ............. KEL,I~R BUILDING P~D~'i5 OF FORT P~~ _.._. .... ...........-~-~-•----....._.......................... .....................---.................... ...... ... . ........ ...... .............. .. ...... . ... .... .. . ...... ... .................. .... (Lienor s Name) whose addreu is-.......44`,~.~....`'..•x?.!itli..U.S....~7't,~wc~y..No. .~,,. Fbx.t Piexc~,...x:lor~.da.. .3,3450 .............. ..... (lienor s Address) and fhat in pursuance oF a confrad wilh .. .. . T~ P~S ~.. ~RT.. P~.. ~p~!'~_.N...r...~~2P,.. an~/or or 90-1'PQIAN00 D~'VEIAPI~NP O~RPOdiATICN .. . .. . .............. ........................................... .... ... .... -. ..... . ......... .. . .. . ...... . ......... .... ....... ..... .... .._.......... . . .. .... , lienor Fumished Isbor, services or materials oonsisling oF: (Dexribe specially Fabricated materials separat~r) Vinyl oov~e, floor patching and cariaet. or~e 'I#~ousand ~ Ni.mred Nir~ety 1, 290 OQ of a total value oF .................... . .... ...... ...... . ... ...... ... . . .. .. . . ... .. . . . ... .. . dollars (S . ..• .._. . _.. . .. ......) of which there remains unpaid s~.,.24Q...OQ ....._.._..... ....., For which amounl he daims a lien on Ihe fo!lowing .. .... ... ... . . ... ... desaibed ~eal property in.....-..~??t..~.?e.._ ........ . .... ... --County, Fbrida: (~esaibe real proparty wFfiaently for ideMiiication, induding street and number iF knoi~,-n) [hit 10-B, of the Pines of Fbrt Pierve, Phase I, locat~ed in City , of Fbrt Pierve, Saint Lucie Cointy, Florida 19$I J,~t129 AN il~ 22 slszo1 fucc ~r;r ~-co~r,rr. S1.lUGf CC!„y*Y f ~ a. ROGf R Fe~TR~s CtERK CrRtr~~; r.r~~U- ~ -^.r•r.., : : ,. . . . Owned by.._.........._.....THE..P7NFS QF FORT PIEEaC,E L~.'~IELOPNIFI~fr ODRP'ORATION He fu~ther says that lienor fumished the Firs1 of said labor, services or materials on..- ~!!?'~r..~,........._ .................__._...._..__..._..---..._, 19..~~., and the last of the same on ....D1c~Vembez...14..------..._--.-. 19.. 80, and (iF the Gen is daimed by one not in privi~y wi~h the owner) that the (ienor served his notice to owner on ~~.. 28.i.. .... ...................................... ...._..._....., 19..~-, by.. ..CFIZT.IF~D. I~L .-R'~Tt7i~T..~PT R~t~Si~Ep _. .. ......... .- -- . . . (Method oF Service) t , ....... ....... ............_._....__..........._....... . . .._.... ._. _ ... , - lienor ............ Gv .:- ..... .... By. . .. .. ......... . .. .... ........ . ........ . Agenl r Aflorney .,:-i•:;.~ Swom to and subsm'bsd before me ihis---....._...28th ................. .......day of . `7~?t?~ri'....... ....... .,,~`;'•:;~,. _,~~'`:. ~~~ \ - ~~. -. ,_ •.' ti~ ~. .1 ~.......;,:~- ~ pot~ h6ic. SUb of Horid~ at LsiN `~ ~j' •'~~ '' ~'~~ . ,.- ^ 4 , ;. ~ ' E_' ' - ~+.. t1 ~' .. . Co~asio~ vtes 1~- 9. 19~3 ' ~' ~Q , ; : _. ~. . ~.d.+ b ~• f.. a c.. .~. <._..•. . .. . .. . .. . . _ . . .' " """•' Q ' J...."'..... _.. .. ». • . • ' .~, Notary Public ' - ',: . ,~ i i ~ : ' .~ : e~~ - ~ •~s J,~1 ~{ ~':_+~~, . . . ~ ~ ~~,u ~,~~n,,,,~~~~~ F.~p~,n~~ ~y: BRENt~AN, llcAlll~Y. ... . :• , „ ~; & DECKERT P A. ~%"~':~,,,r,~:i's.. AJ~/Rxs :-~'K3~~ Q!cE~.~~ ~:~_-~-_~ - .~ W..; - - _~. P::' . . _ _,i9 r ~ • _ FORT . :: :~:_, c ~-~ •,,~ 33450