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HomeMy WebLinkAbout187751~681 CLAIM Or LIEN STATE OF FLORIDA COUNTY OF ST. LUCIE BEFORE ME, the undersiqned authority, personally appeared, ~~~ i~ ~ FI ~~n ~~ _ ^ _, J who being duly sworn, says that he is the 71~~'l.t. S C< ~ E' ~ • of the lienor herein, lienor being __ JE'^SON APPLT~~ICF CFNTFR whose address is 4145 S. Fec~eral Hiqhway, F~rt Pierce, Floric?a 33450 , and that in pursuance of a contract with Custom Housinq Systems, Tnc. lienor furnished labor, services or material3 consistinq of Apnliances . on the following described real property in _ St. Lucie ____, County, Florida: L,ot 14, 31ocy 13, DOR`" S'i'. LUCTF, ~F.C'^In~1 m*.*~'NTY-FIV~'. accordinq t~ the plat thereof as rec~rc?ed in Plat Bo_nk 13, Paqes 32A throuqh 32I of the ~uhlic records of St. T.ucie Countv, Fl~rida. C~wned by ~~ C~ /'1~ ~ S ~f ~ Z F. . ~ ~ ~ - -- _- o f a _~.- total value of $ 1,198.08 , oE which there remains unpaid $ 1,198.08 and furnished the first of the same on the 16th _ ~ ~ ; 4} ~ ~:.: ?=. day of ~ecember ~ 19 80 , and the last of the same on the ~' day of , 19 _ , and that the lienor served his .. notice to owner on the 2~t~ _ day of Februarv __ , 19 81 _, by ~.~.~' z-. ~ ~ j _ . `' . ~. _. • i i ~ . f ~ BY : ~ ~. 4 . ' i ~ ' / J~7 !~ ~c i -~! : L ~?-t :: ~ ,-_ ~ t L _ ~ --- -- - ~ I HEREBY CERTIFY tt~at on this day bef officer duly qu~lified ore me, ~ to take acknowled gements, personally apneared ~j'~~~~ ~/~~ ~ ~ , to me known t:o be the per who eis,~cuted n son described in ins the foreqoinq trument and acknowle dged before me that he executed . the same. WITNESS my hand a nd official seal in the County and State last afore- said this ,-~f day of `f ~~,« , 19 ~/ . ~~ ~~~•~>>,,, _ ~,.~_" ~ 5186ly1 r Z ~ ll~~.~;.,, ~ . f . ,~ ....., ;~~ ; ~ ~ _ te or~~ -St P bli t c a w No u a y ~ ~' `' 1981 hln~t - 2 Pi: 2~ 4 3 : ~ .. ' - , ~ : '/ d- s: :~- ~ . My Commission Expi~~: f/t - • _ : • Tlas Instrum^:~t 1':.,y t~..; .~ cd V y' -iL~Q 1.kL FfC~NI~~ i, Sl I UCIfCGUN1Y i1~ ^: Notary DuNit, SUte 0~ ~~[1t14~e~~ 1' ~ C. R. M:OON^tD, ~R., ~~~o.n~r . , . . R(:GER POIfRAS y.~8. 1~~..••` .~ My Commissan Exdtts u ••••••• Citit~m F~d~~~l euildiwq H. Pi~rc~. floi Id~ ~ NSO CtERK CtN:~SIT C~'~E. `~ 1`rt'^ .1 ~ . ~ • ! , ,1 ' ~ ~ ~~~`~+ ,1N~ I1K ~ nIG~ ~.:.. PaG o ~~ E~ 1-~ ~ V V 1 V 60JK k ~ e . ~ _ _N~ -~_ .. . .. >~~