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~ttlte af_.._Florida---------------- -~.~,~.'~}.;i~ ~
ROG,:ri i ~•:.a:~. CLi~RK i
ST. LUCI~ COUNTY, ~ :
~LOUtltp Of._..--- S~ ~...Lucie ~
• rLORIDA . ~
_ William E. Pedlowe _ ~
(~'ame of Lteitor) . . ~ ~
3617 Orange Avenue, `r'c;rt Pierce, Florida _ ~ ~ - -
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(Residence or Busfness Address of Lienor) ' ; . , . ~
• Development Corpora~io~ ? i
bcing duly szuorn snys that in p:trsuance of n contract with • ~
or - • - • ~ - • , , ~
Amer~ca, tl t'iul~ltict i:viY~iti~a.v~i~ ' ;
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(Name of Lienor's Employer or person with whom he contracted) ~
per f ormed ~~bor and i
~lE { f:er~:islied } the /ollowing services an~ (Here describe the labor or serUic~s performed or ~
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materials ttr~tished. Describe s eciall abricated materials se aratel ~
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~ A11 e~.ectrical materia~s and labor for installa~ion of same ;
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; includin all wirin and related materials as cantracted for
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~ includin s ecifzcall, authorized extras =
-----------------------------~_...P.--------------------~'------------------------------....._...-----2---------------------......-----------------.._.._._---- i
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{ SIXTY FOUR THOUSAND__EIGHT..HUNDRED__SIXTY-SEVEN and 86/Z00
F. to the val:~e of ~
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~ DOI.,LARS ~
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s on the following described real property. (Describe real propertysu~iciently foriderttification,giv- ~
~ in street and ~tumber i krior.un Lots 1__ through 19, Block 2, of DUTTON ~
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; ___TERRACE, a Subdivision as recorded in Plat Book 3 a e 8 of the ~
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~ _,____public___records of St. Lucie County_,~_.Floridat_ ~
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; owned b~~.__.._Fort Pierce Memorial Hospital, Inc., a Florida corporation, ~
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'(Nanie of owner a~ainst whose interest lien is claimed ) ~
zuhose interest in such real property is___________________~ee._ simple_ .
~'irst item of 1abo~st ser°vi estnan~~maCer~a~.pli,~al~ ~~r~~~~~ a°nd =ffurn~..n~ed
labor a uary .
~ He ftertfrer says that the last item of services was ~erformed' on the..______~th________ _
i . materials f
urn:shed }
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~ day of.______._. December ~ 19 65 ~ and, of the contract price stated, there is unpaid ~
; the amount of__.Three__Thousand,_Three_ Hundred..,Sixty_-two._and__23/100._DOLLARS ~
~ (State amount unpaid) ~
y for which amount he claims a lien on the real pro~ierty herein described. ~
! ~~.`!..~s..~.~~`-~
_ . ~ (Signature of Lienor) ~
+ Subscribed and sworn to before nte this____._~ ..............day of___._February__ 19 66 ~
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; ~ - c; (Notary Public) ~
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= S t. Luc e Florida
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' ~blyt~o»imis.siofi~~ezpires__~~.'-~~'--~ (County) (State
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