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~in f9!) M(Cr~ANU.S RAMCO FOf:M 120'.
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~ (~l~xim ~~ ~t~n ~
~ts of ~loriDn
~ ~ouid~ of SAINT LUCIE
~ ~ Belore me, the unde~signed authority, personally appeared DALE LANTIS
who. beiny duly sworn, says that he is the lienor herein or the agent of the lienor herein.
i INGRAM SERVICES
~ Ilienor's Name)
T~
; Post Office Box 1207, 501 S. Market Ave., Fort Pierce, F1,
j whose address is ,
~ . (Lienor's Address)
and that in pursuance of a contract with DAP~NY HEABERLIN, 306 NOrth 16th Street, .
Fort Pierce, Florida, 33450 '
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, lienor turni~hed labor, se-vices or materials consisting o(: (Describe spec~ally tabricated matenals separately) ~
~ One 2" galvanized irrigation well to 80:
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' on the tollowing described real property in Saint Lucie County. Florida:
i (Describe real property suificientl~ !er identiEication. ~ncluding street and number, il known)
2686 Hamden Road '9~ t•1~R -~ ~' '
~ Port St. Lucie, Florida 33452 , ~~ ~~.: t~= $8
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j ~ 51~91r~ S~'I`l~ i~rC~~t~+.F' «
. r^c Gc_„ (•GITP.nS
~ FRANK HOLLY C:~I.KC;:;.;;~; C^t:;' ~
. owned by
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~ of a total value of Th~c~ee Hu~dred Fx~ty ~ight pol.l.ars dollars !S 3 8$. ~ Q )
~ oi which there remains unpaid S 2 g 1. 3 3 , for which amount he cla~ms a lien on the above
, described real property. .
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i He turthe~ says that lienor turn~shed the first of said labor, services or mater~als on Decei!iber 2,
i
i . 19 80 , and the last of the same on DEC@IIIb@r ~, , 19~'s0 . and Gf the fien
; is cla~med bµ one not i~ priv~ty with the owner) that the iienor served h~s noUCe to owner on January 9
~
~~ ,~g81 ,by Certified Mail
(Method oi Service)
and. (it the lien is claimed by or~e not in privity with the contraciorl ihat the I~snor served a copy ot his not~ce to
owner on DANNY HEABERLIN
; iContractorl
I o~ January 9 , t9 81 ,by Certified t1ai1 ,
(Method of Service)
a~d additionally. (i( the lien is claimed by one noi in priv~ty with the subco~t~actor) that the lienor served a copy
ot his notice to owner on
(Subcontractur)
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' Sworn to ahld~~ub@C~ibed before me this
~- ' - No:iry F~b('K, State c( r%or:ua
~ ~ Mr Ccrzmauion E~~;tes !a~ /5. i~/$5
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, by
(Method ot Service)
INGR11M SERVICES
L~enbr
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gy ~(~ti7~-(L~_~~ ' / }~Z -~L~~.~_~
Agent
day ot March ~9 81
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Notary Public
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