HomeMy WebLinkAbout0954 ~~sasz
t~w w[uu?M~u AAMCO fORM 120tiS
UEN tAW. Ft 7U0~
~1.~ttiiT ~rf ~it~rt
~
~ St. Zucie ~ .
Bsfor~ ms, the und~rsi nod authority, personall a ~viri B.
9 Y PPeared ............................BLiBh.......................................
who, being duly sworn, says that hs is the li~not harein or the agent of the lianor hsrein,
Bush..Poa1.s.~...Inc..............................:........
(Lienor's Name)
Wnose ead~ess ~s. 3309. Oleander Avenue, Fort Pierce, Fl~rida 33482
(Lienor's Address)
and that in pursuancs ot a contract with ......Mr.~... M~g . Frank Sabot
•
.
lienor fu~nished labor, aervicea or matsrials consisting of: (Describe specielly tabricated mats~ials separately!
Construction of custom gunit swimming.pool
Purex D-E Filter
1-1H.P. starite pump
on the following dsscribsd real property in ......+5,
t....Z11Ci e County, Florids:
.
(Describe ~eal property suHiciently tor idsntification, including stre~t and number, if known)
I,ot #3~ Block 110 Section 2?
181 Heather St.
Port St. Zucie, Fl. 33452
Mr. & rirs. Frank Sabot
owned by
of a tocai ~ei~,e of . ei_ght . thousand._ seven . hundred.. forty. ~o~t~s
1~
.--8.?.q~.8...04 ................1
of which the~e ramains unpsid s..... 43.7...40 tor which amount he claims a lien on the ebove
described real property.
He further says that lie~or furnished the first of said labor, services or materials on
J1321@...7 . 19.8.5..., and the last of the same on...NO.V.eIt1.~?~.x... , 19.8.5..., and (if the lien
is claimed by one not in privity with the ownsr) that the lienor served his notice to owner on
19.........., by................................:............................................................. ,
(Method oi Service)
and, (if the lien is claimed by one not in privity with the coniractor) that the lienor served a copy of his notice to
owner on
1Contractorl
on . 19........... by........................................................................... ,
(Method of Service)
and additionally, Iif the lien ia claimed by one not in privity with the subcontractor) that the lienor served a copy
of his notice to ownar on
(Subcontractor)
on I 19.........., by........................................................... .
(Method of Ssrvice?
. . . . . . . . . . . ~.SYI. . _~.Q 0 . . . ~~t.~ ~r . . . . . . . . . . . . . . . . . . . . . . . .
'86 FEB -5 P 2 :~1
L.Ysnur ~
FILEO ANC ~~L:~i;y~ BY r .•t'.'
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ROGER = "~I` i ~ _ : ` R . . ~ ~q•[~'~',
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~T. LUCIE CCl~h? c~ . ~ U,` : ; ~ .
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Sworn to snd subscribed befors me this_..._ .............day oi .!;'f.~'.: ~~-.`~.:~~..1/_.;;r{~
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l~hi. ln•Ilfflll~'l1/ ?r~~ ?n?,vl lr~ ~ ~ PAGE ~F~:'~•,off~ondt
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~ip Cop~ssq~.ExPie~1 ~Pn7 24. 1987
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