HomeMy WebLinkAbout2225~~
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ilA. tY67 LAW AAMCO rORM I>Or
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B~For~ me, fh~ und~rsi~ned autlwrity, p~rsonally appeared_-. .~Y...~o~ke.! a.Septic '^ank .Serviee
who, b~in~ duly swom, says that he is the (ienor he~ein or -he ayent of the lienor herein, ........ .
~ fhe atforney ~
Ray Cooke's Septic 'Ihnk Service
..... ............................................................................................................. ... . .... ............... ....... ........ .. . . .. .. . . .. ..... ....
(lierwr s Name)
whos~ address is.P 0..,.Box...64,...St~iart,~.. F'1.... 334°5, 3100. S.E._.~sa~.~r.Aye., £t•,iar~,F~. ~34!~4
(lierwr s /1dd~eu)
and that in pursuanos of a aa~trad with ~~B ~v~lo~ment~ 2~8 S.E. Ver~.da,
..... .. . .. ,
Port St.....Lucie, ..I~l.. _ ..j3~±52_ . . ..
li~~or fumishsd labor, servicss ot materials oonsislin9 oF: (Describe specially fabriwted materials s~parst~ly)
11-21-80 Installation: 900 Gallon precast concret~ sept;c tank
• ' 300 Sq. ft. DrainPield
P.S.L. Pe~it
10 yard ~f rock
150 ft. of i~" perPora±ed p~pe
Ji stributi~r- Box
4fl0 Sq. f+. drainfield coirerir,~
of a tdal value of.Eight Hutidred ?'hirty---------------------dollars (s~3G•QJ
~
of WhKh ~he~e ~e~~~ ~a~d S 83~•~ -- , for which amount he daims a lien on the fdbwiny
dssaibed real property in ..~inL L~acie .. County, Florida:
(Describe ~sal property wFfiaently For identification, induding street and number if known)
Lot # 6, Block ?90 - Port St. L~sc±e, Section 18, Plat Eook 13
Paae 17C, St. Lscie Co~~nty, Florida 51~~'l
( 742 S.E. ~,ssex ~r. )
1981 FEE ~ 7 a~ ~i= cs
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51. Lt'C:E [:GUN ~ Y.i l A
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CLEt?N C~'C'lt~ CC~U :i lJ
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~~ bY 3a~+i:s ~evelo~ent
Hs fu~ther says Ihat lienor fumished the First of said labor, services or materials on~o~~. 21, 3~?C
......, 19........., and the (ast of the same on ...~.c•....9~. --- .... ., 19 ~, and (if the lien
is daimed by one not in privity with the owner) that the lienor served his nolice to owner on ~~• 4, 1~4
2j~,Fe~....6,,~,.12..&1.~j981...~ by_ ::o±:ces ar..d Sts3tements by ~zil °~ phcne.
(Method of Service;
Pay Cooke's ~eptic Tank Ser~.~i^_e
.. . . . .. .
Lienor
By ..... ..
Ayent or Attorney
t~ /~~ ~
Swom to and wbsaibsd bsfors m~ this ........... .. ~.7..._~........... .......day of ~~~'~T~~-.c,y 19 ~ ~.
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' to ~ . ~ •. ;~' r ~'• No1ary Public
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P R E S E N T E 0 f O R ~~ ~~ J~'~~' Mr C0"""~~'0" Ex~a ~+• 28. 19a~
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~t E C O R D I N G 8 Y L I E N 0 R ~. ~~M..,,~,.r•~ _,- '"°'"'
REt'OPDING ~fFT ~~r '- . - 11~~48 PAGE~~~~
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