HomeMy WebLinkAbout0926 - j - - _ _ • -
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66'70`74
ru ~sn Mccw?N~cr RAMCO FORM 1201~
uiM ~•w. ra ~~~a -
~l~txlz~ ~'t~ert
~ of St. Lucie
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Beiore ms, the undersignsd autho~ity, personalty appear~d ..........~.tdd~~y...S.tOt.l.~
who, being duly sworn, says that hs is the lieno~ herein or the agsnt ot the lieno? hsrein,
Islandia_.I~ :Condominium..Assoc.iation..,.._..._. _
_ _ .
(lienor's Name) `
whose address is......Q,~j.O.._SOL~~Y~..~--.~-A.~... Jensen...Be~..c~,._..~'lorida...33.4.~.7........ _ ,
(Uenor's Addr~ssl
and that in pursuanca of a contract with......Rc1dri0l'~IS18rid CO .
. .
.
lieno~ furnished~~r, servicea o~Xi~i$1~ consisting of: (~escribe spscially tabricated materials separately)
Maintenance Fees
on the Iollowing described real property in ............S t. LLiC le County, Florida:
(Describe real property sufficiently for identi(ication, including street and ~umber, if known)
Islandia l, Condominium
Apartment #202
955o South A-1-A
Jensen Beach, Florida 33457
o~~ed bY....~rry.. Rietema,. .Donald Nordlund~ Stephen Alward
. .
One Thousand Eight Hundred ~ighty Five Dollars and 38/100
of a total value of . . _ . _ dollars (S I.~.S.~~..3$.......
' of which there remains unpaid S_. .1.t.88S ~ 38. for which amount he claims a lien on the above
~ described roal prope?ty.
i
E He further says that lienor furnished the first of said lebor, services or materials on
~
~ , 19.. and the last of the same on....-------v...___..._._.. ,~19 and (if the lien
~ y -
~ is claimed by one not in privity with the owner) that the lienor served his notice to owner on
~ , .
Ju1.~r. . . . , ~s.8.4_.. by_..billing..invoic.e.._ . , .
~
~ (Method of Service)
and, (if the lien is claimed by one not in privity with the contractor) that the lianor served a copy of his notice to
owner on _
~ (Contractor)
~ on . . . . _ _ _ _ . . _..,19.........,by........ .
IMethod of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
~ ofhisnoticetoowneron. .
~ 6~ ! 4 (Subcontractor)
.
~ on.. . 19.........., b
r _ .
_ '84... Jl~. .31. ...P ~ :0~. .Q ~ • Y. .
M
(Method of Service)
' F;: ~ , Islandia l~ Condominium Assn.
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s S ~ . L : ~ ~ ' • ' i~ua ~ ` Lienor
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Swom to and subscribed bafore me this....._.~ ~ o ..1g . ~
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' . otary Publi .
l'his 1~~.~lr~~r?~~vil ~r~• ~urrd b~: ~ ~ , ,
/ / . . , rARY PUBLIC 3Tl1TE O~ RI~~` y
` ?I .+1~~r:~{ i~.t ~ COMMISSION EXPIRES MAR 1987 R
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