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N~Ti~~ G~F' C~MMEIVCEM~NT
(PREPARE IN DUPI.ICA7E)
(FILC CRI6INAL WITH CLERK OF' CIRCUIT COURT
PCBT CERTIFIED COPY OM IMPROVEMENT 81TE)
TO ~V}10I11 It i11Ry COt1C~'Pri:
The undersigned hereb~~ informs you thnt improrements tvill be made to czriain real property, un~ in accordance nzth aection
~ 89131 ~f the Floridn Stututes, the follo~~-ing information is stated in this NOTICE OF CO~SDiF.1~1CEb1~I~IT.
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fi Descri tion of ro ert See ~t+,,'~hed ~ gl_ ~PSr. ~
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General description of improvements Texaco ~ei•vice :~tatian to be ~onstructed 3t Hartman Rci. & SR 7(?.
(St. I,u~ie Co. ) Fort Pierce, Floric~a
O~rner ~CH4TT address g~20 ~~1• - 52nd ~ve.Aliami, Flori~a t
Owner's interest in site of the improvement _ Deve? o~er
Fee Simple Title holder (if other than owner)
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Name _ Address
Contractor Gieoer-Jones Construction Co. _Address Box 69~5, (:rlan~~, F1ox~.da
Surety {if any) r;One ~
Address rY pmount of bond $
Name of person ~tiithin the State of Florida designated by o«~ner upon .vhom notices or other documents may be ser~~ed:
Name Address
In sddition to himself, ocvner designates the following person to reccei~•e a copy of the Lienor's Notice as provided in Section
84.061 (2) (b), Florida Statutes. (Fi11 in at Owner's option).
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Name GIEGIIR--~,TGI~r'r~ Ci.;I~~TRtiCTI~iv 0~ . Inc. Address P•U, ~ox 6965~ Crl,~ndo, rlorida
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Commencement of said improvement shalt be within THIRTY DA YS F'ROJ1 DATE OF RECORDING THIS Idp`i~I~CE.~. ti:::"' r: ~
Dated this 2 day of January 19 66 ;;M~ '-i ~
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';t. L. GER Au ~~e~+bget?t•
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STATE OF ~~yORIDA -
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COUN7'~ ST. LUCIE
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~ I HEREBY CERTIFY that on this day, hefore me, an
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`'offlCer-~~ly au~orized in the State aforesaid and in the County aforesaid to tske ackno~vledgments, persona~ly appeared
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~ ~ : ~ , ? ~ W. L. GIE~~ ~X
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be~t~e.peTson described in and who executed the foregoing nstn ent as oa r su ori ed agent and !
acK3~oa¢l~'~ef~t~~ me that he executed the same. `
~1~~~~'~and and off~ci l.~eal ip` the County and Statelast afc esai s a ~ ary A. D. 19 bf~ ,
o ary ?c.'~:•ic, 5..+.i F~^r~_a a! ~:rye
~tiy Co;,::....:io:i i.•~.~.•.. ~ .c. , i75o
~ap~td vy i~r..s:,caa i,r~ ~ Ca._a':y C.o,
~ 2, - 3 ' ~ ~ . . TH - - _ Notary Public
This Space For Recorder's Use Only:
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