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FlA 1977 MECNANICS' RAMCO fORM ~xO~fi
UEM ?AW. if 71J08
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o$tx~ts of ~tori~tt .
Qla~u~ttg af S'r. LUCIE ~ ~
Befo~e me, the undersigned authority, personaNy appeured ~AU~A...y!IA~I~...........................
who, baing duly sworn, says that he is tha lieno~ herein or the agent oi the lienor horeln .
......~AS~..GOA,ST...SG~~?~IxNG .--..A~V~.SJ~0~1...Q~'..GLxMA,~Rp~,..SAL~S.....rNC..
(lienor's Name1
Who38 add~&SS i5.........4.r~.,I..~...I~TQR~'I...LI.~.S.w...#...~...-...~o...BOx...~i~~...~..v~..~r..~cx~.. Fr.,.....~a~~1 ~
(Lienor's Address) ~ ~
and that in pursuence of a contract with......ATLANTIC..P.QOZ...&...SPA .
, .2~.Q...SQUTH..QLLI..DI~SE..HIGHWAY..--..VER~..BEACH,...F't~.....329.64 .
lienor furnished labor, services or mar~erlals consisting of: (Descril~e speciatly fabricated meterials separately)
j INSTALLATION OE' POf7L ENCLOSURE
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~ on tha following described rea! property in S'.~'..,..~,UC:.X~ County, ~lorida:
~ 1Describe real property sufficiently tor identification, including street and number, if knowni
~ LOT 219 - 5204 EAQ,E DRIVE
~ HOLIDAY PINES S/D PHASE 11 "
FT. PIERCE, FL 33450
owned by MR....RAY,PH...M.V.E~~`I~k~
of a total value of ~OUR.. THOUSANb SEVEN. FiLTNDRED,. TIFIIRT~
$~jj#~ ~S 47~4,,.QQ
of which there remains unpaid ~ ~734. 00 for which amount ha claims a lien on the above
descrit~ed real property.
He further says that lienor furnished the first of seid labor, services or materials on ..._AIIG~TST
...........?.2jJ1~ . 1986...., and the lost of the same on.........~_..._...r__,_..~9__,..., and (if the lien
' is claimed by one not in privity with the owner) that the lienor served his n~tica to owner on SEPTEMBER
25TH 86 CERTIP'IED MAIL
18........... by................---..............._........................................................... ,
IMethod of ~ervice)
and, (if the lien is claimed by ane not in privity with the contractor~ that the lienor served a copy of his not+ce to
ATLANTTC POOL & SPA
owner on
(Contractor)
on...... SEPTEMBER........2.5TH ~ ......................19..86.., by......REGt7LAR.. MAIL
. .
. (Method of Service)
and additionally, (if the lian is claimed by one not in privity with the subcontrt+ctor) that the lienor served a copy
of his notice to owner on
(Subcontractor?
on.......~ . 19.........., by......._................................................................--- •
(Method of Service) • - ~ :
. . . •
EAST COAST SCREENING
DIVISION..OF_.CLIMATROL„S ES.,.,.INC ~ _
'enor Q
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`~Bb t+~V 19 P 3 ~~~'f,'~r~.:-: s . -
Bb _ Agent -
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Swom to a~~~ YUlddbaidi~i~`~thia....~t,;.t,.....,~~_.--.__...._~.._day of ....................................................19...~.P~~
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IUCiE CJUNf Y. F~c,,_ ~,r.. . f • J. . . . `Y"
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; ~ - ~ , . Notary Public - rt
7'l~i. Ir~•l?i~?ri~~?il ~??~~~~rir~~~( h~ ~j,3~~df, SAI,ES i TNC~
' t rlrl ~ ~ PO BOX 6178 . i : . " • Na3~Y ~?b~'u. State of Rorid~
vFUO SEACFi . FL 32 961-6178 ~r e°"'~~" ~~0
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