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HomeMy WebLinkAbout0331 ~i `f10t10A SiANTIS blEW'S fORM M 1J0'.S REY. 'GS ?eo.~loc~v~~d oni foJ it~onrt 1~% o~ 1W 6. O~w Gor~POny Oitlll--IVOS ~ ~ ~:;~''~~Q~3 _ ~ ~~m ~~en ~ FLORTDA ~t~1tC Of--•--•-•-••-•-...---•---•--• _ ~iARTI N ~ Q:,Olttit~ Of. B1:FOR1:' AiF, thc uridersi~lne~~ aittitority, person~lly appeared W, ZLISAI~i A. TURNk~R ~ wha, bc~i~i, dt~l~~ siuorn, says t/tat !te ts (the lienor herein} (tl:e [agentJ [attorne~~j oJ t/t~ IiCnor jterfin) ,~._~4~__?~7?~.,_.S_t~axt.,...F1s~r.ida-• tuhosc~ ntldre~ss is . anrl tlrnt in purstrancc of a c'ontract wit/t i`'.Izl`~in..Sembler.~t1_..~e~alf...uf.._~lims_elf...and - - Fr~d A. Besnara, A11~ert L. Dan~ler ~n:i Nictiiolas !~Iar.os _ _ - . _ . 1~,bor and r,~ateri.als nacessary to : lie~nor /urnished labor, services or nraterials consistin~ of insi.~,ll~ a 20-year-tr,rpe asphal_t and gravel roo~, including gutters, down- - : ---s?~o~iTs-,----~~.~a~?e1--s~ag~--~e~~ai~s~-on---~oin;_..ba~e...fl~s~irrg; ~~pia~t~~r~~~t~Is~ "gravity ~ vents, i?~stalling buni~er plates, s~s?1 blocks and cu~ ~ing back gut~Qrs - - ; - - - - . - , ~(nescribc~ speciall~+ fabricated matcrials separately) , i - - ~ - ; r~ on th~~ /o?lowin, dc~scribed rea~ property in ___St t_.Lucie---•------------•-------•---------•--------=-----•-----.._....__. . ~ See attached ~x~ibit A ~ - Cotuit~~, Florir[a _ (Dc~sc~ibe ~ro~erty sufficiently for identification and ~ive street address if auaitable) - = ~ , , :~iel_v__in_Szm~~ler,__Frec~__A_,__Bes:nara, ~1:Q~x_~_.~,a__~~n~].~x._an~1_.N~c~olas _ ozc nc~d 61 - - - - - t~~nos ~ 51, 636 . Q~------------------ of which there ren~u~ns un paid of a totai value of - --l~ugus~ 33 1973___ nnd the last o 1hc ~ ' and f unttsltc'd titc fi~st af the ~ame os--------------------------------------•------- , . t . . same on ...~Pr1~.._1~3,---------------------------- 19~~._. ar~~~ff~~~sY~i1~,~€~G'~~frY~K~f~~ ; : . . . ~c3tt~izs~~t~x~tt~~tit~tL#tk'~ ~t,~~s~i~~ ~ - ~ . ~ The undersi ned a. ~ ° r - (~t~~t~~3~~s~~x~ex~it~xa~scadi~~...,_.---•------•---•- -------Y.~x$_.~~~~._~11_.lienors . . ~ ~ ~ _ rontracting directly or indirectly wi.th him in_ connection.with__the._above- ~ - dese~~~~fi~~"WZi~k~-fi~,ve--been paid~ -iri--ful f.~v ~ , - - ' Lr-7j'~;~ -f~ m- -rr- ~-s~~----•------- ' Y7 L Q~lil ~ .<;r~• ~ ~ji. - - ~ OT _.'G~' ,~...~.o~ ~ - , , < . . ~ - - _ , ^ ~-j : . ~a7 - r~.s:. ~ --...da o APr~.z ` ~ " ~ SZUGr1t ta and subs~ribed bef vre me this----. ~2--- - Y - K . . - ~ - - ~ ..~r . . ~ _ . "I ~ / _ i ~T ~ ~ . 1 • . _ ~ , ' ~ - ,.~tY~_"_"'Y _ {,,,~••j• ' y"' _ ~ = ~ S~oier~ Pu'a!is, Stose of fIorida ot tai§~ . F ~ - r . o~aty blic:) _ - F',y Comm~»i;,n c:~res Jvne d, 1;7i _ _ ~ - _ . ` ~ :~f~' ~~OtTiT~2255ZC~12 ex¢ires.-.-~,~.;~~yf,~ctiec~caswFica-&~Cawc{ty Cv. - ~ ~ " ~ ~ ~~~i,:~ l ' a . s • , 3 ~,~.~o,.,,« .s~~~~ ~COK PACE - 3~~ ~ ! . ' Y ~ ; F { J ~