HomeMy WebLinkAbout2494 F
3~08•-;~~ ~
FLA. 1967 LAWS ~ RAt~ICO FORM 120M '
F3 713 00
t
? • ? ~`~V~l~ ~
~i~t~rt ~t~ert ~
t
~ ~
'n
~t2ttt Of ~IOCtI1lt ~ r =
QTouitlp of st. Luci~ ~ ° }
c~ m = ;
~
BeFore me the undersi ned authorit y pp A, Jacobs ~~~co T
, 9 Y, Personall a eared W..~,;.~~ o ~
~
who, being duly sworn, says Ihal he is the lienor herein or # the atto ney f oi the lienor herein, ~ o ~
. .
~ I
-....,7~CoA..s................. . .
~lienor's Name) ~
f
whose address is~~.~•.....-......~'.~.0.~....~ox...1232,,. Fort. P,ierce, . Florida...... 33450 ~
_ . . ,
(lienor's Addross) - ~ ~
€
and thdt in pursuance of a contract with .....~Iames_ .Blanton_., and..Martha.. Bla.nton., ._his wife
.
. . . . ,
lienor fumished labor, servius ar materials consisting of: (Describe spacially fabricaled materials saparately)_ ~
. . - ~
Install grilles and air conditioning equipment in new home. ~
1 TA736B1B _3 tons cooling condenser Serial # 213900450 ~
~
~ 1 WE630G1F Indoor Blower with 14.4 KW Electric heater
Thermostat, ceiling supply grilles and return air grille.
~
• . s
,
. !
- ~ _ ~
of a to?al value oF... 0i?e._thousand. two_ hundred_ seventy-fivedollars (s..1,275.00 ~ _ ~
875.00 ~ ~
of which thero remains unpaid S-~-~ for which amount he claims a lien on Ihe Following ~
-
, - : described real property in .....................St Lucie...... . _ _ ..County, Florida: ;
~ (Describe real property sufficienlly for identificaticn, including streel and number iF known) _ ~
- i
4
~ 6110 Deborah Way, Lakewood Park, more particularly ~
deseribed as follows: '
_ . /~C%1- C%.S - ~ ~ ? - ~;C~C~~~ i
_ - Lot 21, Block 52, Unit 5, Section 2, Township 34 South, _ ~
Range 39 East, St. Lucie County, Florida. _ ~
Owned by . . _ - .
He further says that lienor furnished the first of said labor, services or materials on.....~OVember 20, _ -
. ~
74 Mar~h 25, 75 ~
19........., and the last of fhe same on 19 and (if the lien :
_ _ ~
~
~ is daimed by one not in privity ~vith the owner) that ihe lienor served his notice to owner on ~
-
` .
t9........., by.. - _ ~ . . . ~
- - (M hod of Servi ) ~
. ~ - -
. . . . .
_ " - A. Jacobs - lienor -
- By........... -
_ - Agent or Attorney _
. _ - .
; - ~wom to and subscribed before me this..........!.c?~ ..........................day of June . _19.75..... ,
- - i::: -
: ~,,Jl~j, 1 ~ _
~ r ~ ~
. . ~ ~L : ~~f _ " -
s . _ -
_ , - .
_ . ~ , . ~3 .
o
. ~ 1 ~_t;~.,~~;._
. :2 - ~ . i; Notary-Public
_ - :
_ n` - ~ ~~,3.31 ~
: ~ - ;-~y, ;j~y Cor~rtission Expires :
- %%iic I~r.yrnu~r~~rl `~r~ f~urr ~l 1)~: ~ ; L: : t_ = N~
- o. srl? Pu~'a. Sf~te of ftorida +t larQe
~ ,
_ .'~~~r~Ir:cc ` Z L~ ;
` ~ ~ ~r ~0lRlIMl.30d E7I?1(~f Z~~ 19~~
• M~eM b
~i ?~j •'.'.~~~i~• w` ' ~ ~ ~ ~Yf1~ ~ '
- This instrumeat prepare~ by L. A 0'LAUGNLIN, 1'~'~., ~Ci c i•'~~.~' . .
- 0'LAUGi~Lti~ 8~ 0'IAliGHL1Y ~'''~:•.~l~.,.;,r•~• ~ R
~ q ~ Fort Pierce, ~ ~ ~ ~ aoo~c2'~ PAGf~~
~ -
- - - - . - - - - . _ - _