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RAMCO FORM 120'h ~
ilA 1l77 MECNAMICf-
UEM 111W. f~ 7110~
~ ~
of PINELLAS ~
~ M~1RK WEST `
Before me, the undersigned authority, persone~ly appeared.. . . ,
who, being duly sworn, says that hs is the lienor herein or the agsnt of the lienor herein,
QUALITl' MARBLE, INC. _
.
(Lienor's Nams)
3860 70th Avenue North, Pineilas . Park_, _F1, , 3356_5.
whose address is . . . .
(Lieno~'s Address)
. ,
and that in pursuance of a contract with _ BOWriAN TILE COMPANY
,
lienor fu~nished labor, services o~ materials consisting of: (Describe specially febricated materials separately)
Labor and marble slab material for labby, outside canopy and
planter.
St. LUCle .......................Count Florida:
on the following described real property in Y.
(Describe real property sufficiently for identification, including street and ~umber, if known)
Government Lots 1-3, lying in Section 2, Township 37 South
Range 41 East, St. Lucie County, Florida.
9650 South AlA, Jensen Beach, Florida 33457
ownedb The Princess Development Corp.
y _ .
. . - .
Thirty-f ive thousand seven hundred do~~ars (S ..35, 73y.. 52 ~
of a total value of . • - ~
thirty=riirie~~c~ollars ~and 52 ~cents
` of which there remains unpaid S_.. 7~ 9~ .;or which amount he claims a lien on the above
k
! described real property.
September 10,
' He further says that lienor furnished the first of said labor, services or meterials on _
i , 19_~ and the last of the same on.._December___10_, , ~g..84__, and (if the lien
~
. September
i is claimed by one not in pnvrty with the owner) that the lienor served his notice to owner on
E
~ 28, 19g4 .by Registered Mail
(Method of Service)
and, (if the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
RODGERS CONSTRUCTION CO..
owner on
(Contractorl
~ on...... September.....~.9! t9.84..., by...... .Registered.. Mai.~............................ ,
(Method of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractorl ihat the lienor served a copy
. 1!T 1 l.~~)
I30j•7M111`7 Tii.E COi•irniv i
of his notice to owner on
(Subcontractor)
y September 2.7.! . 79.84..., by.......... Regi.stered...Mai.~........................... .
~ on
(Method ot Service)
~ '85 JVW 14 ~0 ~4 ~
~ QUALITY MARBLE, INC.
~
o, ,
~ FII.ED ' Lienor
^ o G) R06ER PQ! ~ F~ ~ . _ . , x :~~~//4
o o SL LUCIE CC!I'~ ~ ' Bv . Gf~~r
6~095 riark west ,~:~,~M'; s~c.
~ ~ _
Q J-~' ,
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~ 9 th 3:anua r ' : 8 5...
~ W Sworn to and subscribed before me this.._........_ ...............................day of ,.........19........
~ c ~ _ .-~r
w cD ~ , . .
.
W ~ -~w 1~ . yblic ~
~ a~ • This /nslrum~r:? pmparc~d bv: George J. Schrieferr,,; A, ~.;,.-•''s~
Addr~•s.~ 6075 Park Boulevard ~ ~F tr`~.y~F;.~~`` ~ _ . '~$,S ;
Pinellas Park, F1. 335~i"~~~+:;.,:..,.~ _ ` .,f
,
u(1{~K ~V?J PdGE J~ / ( 813 ) 544-1429
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