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IiAMCO FOtiM 120~1
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Before ms, th~ undsnipned Notary Pubiic, penonally app~ar~d ..~~1~!~!~!~~!~'~.~~.1.. u~^i4~~.S
who was duly swom and says that h~ is (th~ li~wr harNn) ( ' trt1 . . . . . . . . .
f ~ • . (DELETE ONEi
~ ~Ns//f~l /,~.~c. _ _ _ (T~S ^
" C~..~c.I.P.A.I.~AR~,~
. . _ _ _ _
lLienor's Name)
whosaaddressis .~~v.~.. ..N,pRll~....,~i~.~la/~!n' /\1?~l~.....,~/~...~Gdel~~Ec~..rl,•_.33yso
(Lienor's Address)
w,~ G/ ' f
and that in accordanc~ with a conu~ct with . ~t~.. ./...~.~/9.~5/~~O/Q.... G.4~ ~/Pl~ ....~.U t ,
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.3..8.._. /~vo c...... /`~l..v~uet. /3~ ~G~ ...~..3'ro~
lienor fu~r~ished iabor, services or materials consisting of: (Describe spacially fabricated materials separately)
L-ABoR /~c-S%/.jl.Ci.K,- /Y/YI
ERiit[s C ~P-/JQ~~A-~- ~~Ri~G~
A,~.r~ ~~R~.•s'M~e r~Ic-R~~c-:
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onthefoltowin describedreal ro e ~n..........?~~ ....Ci..~.G...........................
g ~ p rty ' ~ County, Florida:
(.~J~ /x_~~ ~D~cribP~l ~o~sufficiendy for identification, including street ~nd number, if known) , ,
Lo7s ,72 .r-,73 a~ /To~-;c ~9'~Plp ~.~~r ~`C.~l3 ON~ /1 ~cuR~D,Me , 7i~ '
p~r4% %~HP~f ~n' fi~F ~c' Offie~- af CCG-'Rl~ o`' /~v~ ~il~~w% C'pvAl
~ tifl ,~R sT. L ~ ~ co ~,..~'"y, ~G, ~oR~c-~ : ~ a 3
~c- aS S~• ~'o.~'~i.c. <<~ o~-- $rii~,- I~b~arN
voti,~,c . .PL~~A. . . ~R • . L Eo ~ . .
ownedby y . . . . . . _.._~G../~ .....~..5 ./.~i!~- . . .
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of a total value of _ _ _ 7 b G il D ~ _ . . . . . . _ . dollars (S ...3(a. Os?~. Q G _ . .
of which there remains unpaid s ~.a.. ~.d.............................., snd furnished tha first of th~ items on
. .
' ~~l/ ~P....... , 19 ~5.~... and ths last of the items on .3. J.. $5...... , and (if the lien
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~ is claimed by one not in privity with the owner} that the lienor served his notice to owner on _
V.vC.y . , 19~SS..by.. . . . . /~~=~1.'~Jti,.L- _ . _ _ . ,
~ ~
_ (Method o' Service) ~ ~
and, (if required) that the lienor ssrved copies of the notics on the contractor on c/ ~L~ a 3,
~
~ by L.~C...~~f!/.4-G and on ihe subcontractor,
(Method of Ssrvice)
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on ~ ..__......_..,19.Ff.~..by__... . !`~~C".,......
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~1~~'uC7/~i IMethod of Service) ,
- • .
,~124 P 1 :07p _ _ _ _ _ . . .
jy~ Li or
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~ F~~E~'
~ ROGEr P• BY . . .
sT. ~U~~= . Agent
~ . Sworn to and subscribed before me this........~ ~ ' ,
............dayof . . _ 9~.V..
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ti _ _ ~ . . . t'~ ~ ~~•.~i.~
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~ ( ~ Notary Publicl ~ . • .
l~lli., In.~trunt~~r?t prc•par~~d fi~~: \ ~
.•1r1~lrF~..s ~t~ P/Yl~ ~ - ` ~ ,
~ ~lOTA.RY PUBL!C ST~'TE Q~•Ft~'"~~ • . ~
~ LEGAL CONTINUED: Lot 183 Unit 1(3001 Mr coM~+issio~J EXPt~cS htkR 11 i~}14..
Br`NDfD THRU GEtv~'~fiL-Jt~SJtAN t;lQ~_`; : ' ~
~ Raymond Floyd Av., Ft Pierce, Fl. Lot 183 ~,,t .
of N14nte Carlo Country Club, Unit l, P~at Bk 23 pg x••<'
25; Lots 74 75, 76, 77 Monte Carlo Unit 3, S/D ~
i i i v-:; '•~.....•r r.
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in Sec. 2? and 28 34 S. R e 39 E. ~
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St. Lucie County, F1. , . ~
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~ ~U~K 47~, 915
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