HomeMy WebLinkAbout0992 Doby Supply
P.O. $ox 2906 Jri3a381,O
Yero.~A6Q~LynN1~$ • 3296o RAMCOFORM 120ya
- uEN ~~w. ~s »aa
. (~l~t`tYlt ~f ~'t~rt
~
~auad~ of Indian River
David Kus
Betore ma, the undersig~ed autho~ity. psrsonally appeared . . _ .
who, bsing duly swor~, says that hs is ths lionor hsrsi~ o? ths agent of the lie~or he~sin, .
Treasure coast suppiy,_. a~b~a. Doby ,Supply
_ . _ .
(lienw's Name)
wnoseaadress~s .1971 Commerce Avenue, P._ .O. .Box_ 2906, Vero_Beach,.. Fla• ..32 60
1li~~oi s Address)
• Action Dr wall
and that in pursuance of s co~tract w~th . _ _ . . ....y. . . _ . . . _ _ . . . ,
_ _ . . . .
lianor turnished labor, services or mate~ials consisting of: (Desc~iDe specially fabricated materials separatel~)
Drywali and Drywall Materials
St. LUCle Count Florida:
on the tollowing described real property in . y.
(Oescribe real propetty sutficiently tot identification, includiog street and number, it knownl
1553 N. E. Arch Avenue
Jensen Beach~ Fla.
I,ots 1~ 2& 3 B1~ 8
ow~eaby Yalari.e_.Yan.Ken,._Cambr.idge._A.cademy~,- Snc.... _ . . _ _ .
ot a tocei ~ai~e ot k'~~teen Hundred .Fift~t ..One 11/100.. done~s ~s l, 5~1.. l.l 1
ot which there remains unpaid S... 1~.SSl. r.11... for which amount he claims a lie~ on ths above I
I
described real property. -
_ _ . _
I He turther says that lienor turnished the first of said labor, services or mate+iais or . M8Y'Ch
i
i 26th . ~ 9. 81, and the last of the same on MaX'Ctl 26 , 19 , and (if the lien
_ _ _
~I
~ is claimed by one not in privity with the owner) that the lienor served his notice to owner on
( _ Maxch. ~7~h . ,~9.$~....by.. __C.er.t.if.ied.Ma.il . _ _ . _
~ (Method of Service)
~ and, (if the lien is claimed by one not in privity with tne coniractor) ihat ttie liar.;,r senre~ a co~; of l~is notice to
i ow~e~o~ Aval.on. C.onstruction..__. _ _ . _
~ ontractor~
March 26th Certified Mail
on . . . . _ _...19._._ ....by . . . . .
IMethod of Senrice)
and additionally, (if the lien is claimed by one not in privity with the subcont?actor) that the lienor served e copy
of his notice to owner on _ . . . _ . _
1Subcorira~tor=
5:33810
~ on _ . _ . _ . _ _..19. .._.,by . _ _ _ _ _ _
~ 1981 J'~'I 24 ~ SC) (Method ot Service)
~ Treasure Coast Supply,d/b/a Doby
~I',!C ~h[ F: C:~r:~:: . . _
5~ ICL~f CCUy'r.%: Lienor
~uPP1Y
,
(~CGf R f'!;~ tfi
~ ~~l:f-K Ctf Ct'{' CC:j~: (
, ( ' 1
. . . . . . _
~ . _ By.._;..~.%.(,W. . ..t<~,... _
_ . _
~ . ~ A~ent
~ S~ra:n tu snd sabscribed betar$ me this 2~'th J Uri~ ~ ~ 81
~ ...dayof _ _ . ..19_....
° _ ..~,.~Z'~' r J
~ - 11~'~otary Public /
7'his /~islru?n~•i~l pr~•pnrn~l h~-: Ilvi Szirony
t Notery Ps:btit, Stafe,oi florida ~t Lar4e
' - ~id~lr~~cs iq7i i;ommerce Avenue f.~y Co,~~,~s•i~a E:71!~l~n. 8:1983- IN~~
~ Vero Beach, Fla. 32960 a., b> s~..:.':~ti~;,~..N BQ~li,~.3~~ ~fi~ ~7~7~
~ a I ~ ~
~
~ ~ - ~
~ ~~,.s ~