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BeFore nw, ths undersi9~ed aulhority, personally appeared naniel 1~~. Shaw
who, bein9 duly sworn, say: lhat he is 1he lienor herein or ~~he agenl ~ oF the lienor herein,
the atlor~ey
A.B. Duplicating Products Co., Inc.
. . ....... .............. . .. .
(lienor's Name) .
whose addre:s ~s ---- 13~5...~?elaware Ave. Ft. Pierce, FL 33450
.
(lieno~ s Address)
and that in pursuance of a contract with Carl L.. Iirimm. ,
3800 South Federal Hwy. Ft. Pierce, FL 33~50
(ienor fumished labor, servites or maierials consisling of: (Describe spetially fabricafed mater'wla separately)
In,voice #1735 Supplies $ 98.07 11/4/80 ~i1,~~j83
Invoice a17u~ Supplies ~g.s7 li/5/so ~ N~ ~p pK 1:03
Invoice N1750 Supplies 112.74 11/7/80
Invoice #1826 ~upplies 160. 78 11/24/~0 FILED RhC f~CGPPt 3
st. ~uuE cOUN r r• f t J-.
ROGER POITRAa
LLER1t C~SC1lIi t"URT
.t .;;- ~•4~ ~s^ ~ -
of a Iotal va{ue of Four hundred and ~6/ioo-----------~ollars ~S 400. 46 ~ II
of which there remains unpaid S~4 ~ G'~ 5 , For which amaunt he daims a I~en on ~he following
desuibed real property in St . Lucie County, Florida:
(Describe roal property wlfiaenlly (or ideMiFication, induding streel and number if known)
1 ea. Destroyit ~ N!odel 4mm
1 ea. Triumph 1$" Semi-A4tomatic Cutter
1 ea. A.B. Dick Model 36OCD Offset Duplicator ~R#6043
1 ea. A.B. I`ick Model 107 Pl.ate Burner SRN1282
' 1 ea. 1-35~6 Dolly
f
E
p
t
~ Owned b~- .. C.ar7.. L. Brimm .
~
; He lurther says that lienor furnished the first of said labor, services or materials on
t
~ November...!i__ _._ .._... ti9-..~~ and the fast of ~he same on . jlovember.. 2 4.. , j9 ~fl, and (iE the lien
~ ................. ,
3
,
~ is daimed by one nol io privity with the owne~) that the lienor served his not~te to owner on
~ ._.ne,cember._ 12 ...~ 19 _RO by Certified Mail
~ . , (Melhod of Service)
;
~ . ~~ Lienor
S , \ \
~ gy -~..~ ~ (~~ .
~ AyeM or Aftorney
' ..da ;
; Sworn to and subsaibed before ms this ..... .... ......... ~.~.'.. .. y f /~/p'~ 19 ~ f
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