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-t• 19// Ml~NAh1~S RAAtCO fORM 120 .
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Before mo, the unde~signed authority, personally appea~ed Carl Johns, manager
wi~u. ue~ng au~y swom, says tnat he is the lienor herei~ or the agent ot the lienor herein,
Climatrol Sales Inc.
(lienor's Name) .
whose address is 5?_9 South Industry Road, Cocoa, F1a. 32922 .
(Lienor's Addressl
and that in pursuance ot a contract with Kenneth R. ~l@t1
800 ~lJ.wood Ave, ?t. St. Lucie, Fla.
lienor fur~ished labor, services or materials consistinc~ of: ~Describ~r specially fabricated materials separately)
Fabrication and installation of a screen pool enclosure.
on the following described real property in • $t. Lucie County, Florida:
lDescribe real property sufficiently for identification, including street and numbe~, it known)
'~00 Ellwood Ave, Pt. St. Lucie, Fla., also known as
Lot 1 Block 3. Hidden River Estates, Pt. St. Lucie, Fla.
oW„ed b,, " Kenneth R. Olen
o( a total value of three thousand nine hundred thirtyd~g}~S 3, 934. 00 !
o( which there remains unpaid S 2~ 700• ~~ , tor which amount he claims a I~en on the above
described real property.
He furtiier says that lienor furnished the first o1 said labor, services or materials on
.Tg1111g2^~/ 2's . 1~], . and the last of the same o~~uary 23, . 19 8], , and (ii the tien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
19 , by
(Method ot Service)
and. ~i( the lien is claimed by one not in privity with the contractor) that the lienor served a copy oi his notice to
owner on
on
iContractor!
.19 .by
(Method of Service)
and additionally, (if the I~en is claimed by one not in privity with the subcontractor) that the lienor served a copy
of his notice to owner on
5~~.4U~
on ~J~~ ~~r~ 2~{ !i. ;~' ~
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Sworn to and subscribed before me thi
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(Subcontractorl
, by
(Method of Service)
Climatrol Sales Inc.
~, Lionor
l' ,~J ~' l,
BY ~ ~~ "` .~~~1. LL~Y
/ Agent
s 20 day ot . MeI'Ch ,--~ t 9 Bl
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,~ ~._.~~~- ~.~-; ~ ='l- -!% ~~ ~_c ~ ,
~ Notary Public
Carl Johns ~
529 S. Industry Rd. ~!
mco~ F1 o r ida
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