HomeMy WebLinkAbout02395~'~'710
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r~s ~s» Mt.s~an~cs RAMCO FORM 120'~
UEN lAW IS 717W
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~ouxd~ of Brevard
Carl Johns Manager
Betore me, the undersigned authority, personally appeared
who. being duly swom, says that he is the lienor herein or the agent oi the lienor herein,
Climatrol Sal~s Inc
(Lienor's Name)
Wnose eda~ess ~5 529 S Industry Road Cocoa, Florda 32922
iLienor's Address)
and that in pursuance of a contract with Vi ncent Gorham
P,O._ Box 6 Ft, Pier-e, FL . ,
lienor furnished labo-. services or materials consisting of: (Describe specially fabricated materials separately)
Fabrication and installtion of screen pool enclosure
on the following described real property in $t ~.UC1 @ County, Florida:
(Describe real property sufficiently for identification, including street and number, ii known)
1202 Egret Lane Ft. Pierce, FL also known as
Lot 2 Park Trail Acres St Lucie County
ownedby Vincent R. Gqrham
ot a tota~ va~ue ot Thl r'ty-seyen hundred si xty-one dollars (S 3761.00 }
of which there iemains unpaid S 2530. ~~ , tor which amount he claims a lien on the above
descri6ed real property.
He further says that lienor furnished the first oi said labor, services or materials on
December ~ 8 •~ 9$~ , and the last of the same on December ~ g . ~ 9$0 . and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
19 , by ,
(Method oi Servicei
and, (it the lien is claimed by one not in privity with the contractor) that the lienor served a copy ot his notice to
owner on
(Contractor!
on , 19 , by ,
IMethod of Service-
and additionally. (if the lien is claimed by one not in privity with the subcontractor) that the I~enor served a copy
o( his notice to owner on ~
(Subcontracto~l
F~~ 2~ ~~~ ~~: ~n
~/ ~,'; 1
on ~ , 19 , by
• `;i.~ t ~i ~: ~. •' • (Method of Service)
Si II;L:F l1 : Y, I.i. -
RCV: f~ ('Lt; " •~
_ .~-E' ~; : :- . ~ '~ ~ Cl ima~rol Sal - inc
/' Lienor
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Agent
'"'~'' " ' ~ '~" ~ 19 February ~9 81
q to and,s~~~ibed before me this day .
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~-J VQ\l1~ ~ ~ `
;. ~ , , ' ,~ Notary Public
~ItK{~F•IrHU~~•l~l ~-r~•~„~~,~,1 h~~: Carl Johns S, .
; ~ ~;~;/~s:~, ~ ~ 529 S Industry Road
~ -- ~ Cocoa, Florida 32922
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