HomeMy WebLinkAbout0985 FIA. ti67 LAWS ^ ~ RAMGO FOIIM IYOM
F S 713.08 l~~~
V
~i~tim ~af ~i~n
~ts of ~lnri~c
~cu~tq of St. Lucie ~
Bsfore me, th~ undersiy~ed authority, psrsonally appearecJ- Sally A. Jones
S the agent t ~
who, bsing duly swom, says tha! he is tha lienor harein or ~ the attorney ~°f the (ienor herein,
Sally A. Jones/ Jones Septic Tank Inc.
. . _ _ _ . .
_ . .
(Lienor's Name)
P.0- Box 1707/ Stuart, F1a.33495
whose at~Ckess is _ _ _ .
_ _ . _
" (lienor's Address)
and rhat in Manufactured ;iousing Systems
pursuanoe of a contrad with_ _ . _ _ _
_
1618 S.E. Village Green Dr., Pt. St. I,ucie, Fla. 33452
. _ _ . . . . . _
lienor fumished (abor, services or materials consisting of: (Describe specially fabricated materials separately)
Installed 900 gallon tank with 300 sq. ft. of drain
field;
~
of a taal vatue of.......Nine Hundred Eighty Five00/I00 doliars (S 985 ~ 00 ~
' of which thera remains unpaid S 985' - for which amount he daims a lien on the following
St. Zucie
desaibed real PropertY ~n . _ . _ _ _ _ _ CouNy, Florida:
(Desaibe real properiy suffidently for identification, induding street and number if known)
~
~ 1558 S.W. Apache Ave; Pt. St. Lucie, Fla. ~
~
~ Lot 15; Blk II85; Sect. 8;
`84 OCT 23 P 3:09 ~ i
~,`7'7'760 ~ ,
FILEu ~ . ~
- ROGEK , - ,
ST. LUC~;. i ; : _
Manufactured Housing Systems
Owned by . _ _ _ _ _ _ _
F{e further says ihat lienor furnished the first of said labor, services or materiafs on 22na _
A~ 19.8~.., and the last of the same on 19 , and (if the lien
~ is daimed by one no1 in privity with the owner) that the lienor scrved his notice b owner on _
~
.
~ . 19. by _ _ _
(Metnod of Servicef j ~ ' ~
Jones Septic Tank , -
, : , ,
~ i
_ . . . . _
~ 'enar _ • ; - fi' ~
~ ; .
. .
o.
~ ~ ~ ~I ~ e
° By_ _ . . Q7~--
Age or Atto er , <
, ~ ' ~ r ~
. ..............................day of L/ G~~ . ,
Sworn to and wbsaibed befors ms Ihis 19~.~..
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~ '
.
r .
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~ , . • _ _ .
_
~ - Notary Public
~ r, i , . , 2 ` ~ r' 'nTE Of flORi'?.
E ` i~~!'fA2Y t~_~N~_' _ S:
€ I JlIS IuS/tIINl~7l1 r/r ~Nri7I ~~y: . ti'Y CG':.'~1,5~`v~! EiP1Rf5 MAY 31 1987
f f - ' r~ ; ti r-~ ~•~8Gi1;iED THRU GE~i[RAL It~S11RAi~CE U~i~
' .1~fJ.,:c~ Sally A. Jones . ' ` ~ - ~
P . o . Box 170 7 . ~ • c ~p
Stuaz~t, Fla. 33~+95 ' ` , - ~ g~~~U ~G~ c~D~
4. ~
~ .
. _.-___..~'_'..-~-_.._-.-a~-..~~~... i~'Yr''~~_~_~:~'--~?'"~~.'~J~~S~..~
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