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RAMCO FORM 120S~i
NA. INO YiCNAN1Cf'
l1tN lA1N. N 71~0~ ~~1~
1
Barrie Vreeland
a~ °f ~ P. 0. Box 1204
St. I.ucie ~ y~ttituck. New York 11952
.
• B~foro m~, tM u~dKSfpn~d Notary Publb. pKSOndI~? app~and .....ROy.. P. ThOIDeIB ~ Jr
who vras dul~? swom a~d aa~?s that h~ is (th~ li~w~ hKNn) (tlu~a~n
t of tM li~nor h~nin)
IDELETE ONE)
Ro.Y... p.~... Tho~as, Jr
(lisnor's Nams)
P 0. Boa 519 Ft. Pierce, Fla 3345~
. .
whose address ~s ,
(~enor's Address) ~
a~d that in acco~nc~ with a coMract with ...............~rri@ Vreeland
.
.
lienor fumished labor, services o~ matsrials consisting ot: (~escribs specially fabricated materials separately)
Lots 13-14 Block D
Tropical Acres S/D
St. Lucie
on the following described real prope?ty in ........•••••••••........................_...._........County. Florida:
(Describe real property sufficientlr for identification, including street and number, if known)
. Lots 13-i4 Block D
Tropical Acres S/D .
Barrie Vreeland
owned by
ot e totei ~ei~e ot ...~'.!".!o thoueand dc 00/100------------ 2 000.00
dollars l3
~ of which thsre remains unpa_ id S and iumish~d ths fint of th~ it~ms on
~ l..
; 3-10..... . 78 t34..... and ths Isst of the itams on a~d (if ths li~n
~ is claimed by one not in pri ity with the owner) that the lienor served his notice to owner on
!
~ -•-•-~---3-15......79~----•by............m8~1
~ (Method of Senrice)
~ and, (if required) that the lisnor served copi~s of th~ notic~ on the contractor on
by and on tF» wbco~trsctor......•••••.............-••••••••.....................................
(Method of Service) ~
.19------...., by .
on
(Method oi Service)
P~~ Roy P. Thomas. Jr
~ ~
~7~~t~ fILEO !;N!; ~ 1~!.'c.D ' no
~R POITR~S. C~_ERK
` ST LUCIE CQUNi'f. FL. e
~ . . . . A
, - gent
...............day of June 84 ~
Sworn to and subscribed before me this 6th ................................---...._........_..........19...........
: ,~j
; ' G~+-~`~
~ . ..............•-•---.._~J.._..................
~ Notary Public
~ Thi.s /nsln~men[ prPpnred by:
i AddrPCS t~tv~..~.i r~.o.,. ~~M(E Ur riViilOA AT lAftvE
€ M~ LU.r.~~;iS51Cti~ Ei(F1Jic~•(+~.,~~.d :1985
; BOND:U ~ ttitU
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