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ilA 1N0 NtCNANIC{'
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~ of ST. LUCIE ~
o~ust~
Betore ma, the undsnignsd Notary Public, p~rwnaliy app~arsd ~-.N.+.. .~ICHARD_,. SCHOPP_ i
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who was duly sworn a~d says that h~ is (th~ lisnor h~rsi~) (th~ ~Q~~t of th~ lisnor hor~in)
(DELETE ONE!
_ WICKES. LUriBER~...a. Division of__the_. Wickes Corporation
(Lienor'a Name)
whoseadaress~s 9.012_..Beach.__B1_yd.,_,Jacks.onville, Florida 32216 .
1Lienor's Address)
. _
and that in accordance with a con~~act with .._.ROBERT . NELSON
. . . _ ,
lienor turnished labor, services or materials consisting ot: (Describe specially fabricated materials separately)
Cut lumber, Hardware, Felt, Plywood, Nails, Pressure treated
lumber, Miscellaneous tools.
ST . LUCIE Count Florida:
on the following described real property in . . _ . . . _ . Y.
(Describe real property sufficiently for identification, including street and number, if known)
The North 500 feet of the South 1150 feet of Government
~ Lot 1, Section 14, Township 34 South, Range 40 East,
` St. Lucie County, Florida, TOGETHER WITH the North 500
~ feet of the South 1150 feet of Government Lot 2, Sec. 15,
~ Township 34S, Range 40E, St. Lucie County, Florida, LESS
~ ~~~ND EXCEPT the right-of-way of State Road A-1-A.
. .
: owned by BILL NELSON °
; of a total value oi Th7l~'ty ~ouSand .Sixty-One. and. 59 cents dollars IS 30, 061. 59 ~ ;
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~ of which there remains unpaid S............ 30,,.0_61 . 59 and furnished the firat of the items on ~
~ D~cember_._6 86 December 29, 1986, , and (if the lien .
, 19 and the last of the items on
~ is claimed by one not in privity with the owner) that the lienor served his notice to owner on _ ;
` , ts . . by _ ~.n.. Pr.ivity .with .Owner_ _ _ , '
_ (Method ~f Service)
~ and, (if required) that the lienor served copies of the notice on the contractor on `.)i
I
by and on the subcontrector.
(Method of Service)
on _ . 19.._.... by..... _ . ~
. _ _ _
~Method of Service} i
' WICKES LUMBER ~
_ _ _ . _ . ~
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~ A ent/~~L~ _ I
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~ Sworn to and subscribed before me this _17 th March ~~87
...............dayof . ~.-,19.
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I~ld r~~.... Notary Pub~u. State of Rorids
, H~~ a P 2,39 My Commission Expires July 24. 1987 . .
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