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RAMCO FORM 120~i
~u. tNO ~tltw?N?C~'
u~N u?w. i~aa ~j~~~
~ ~ ~ `
~ ~ St. Lucie ~
Allen A. Dark & Jonna A. Dark
84fo~s mo. th~ und~rsi~n~d Notary Publio. P~no~ally sp~end
who wes duly svrom and says that h~ is (d» Nsnor MrNn) ~61~lNWli~iKKriiil~'+~
M (DELETEp~NE)
_Al_len__A... Dark, and..Jonna..A. Dark
.
(Lienor's Nams)
whose address is..... G.4U..S...w..,...~x~4~..~txe.ek,..PO.~:C..~t.... ~,u~~e.,...FI.....3.3452 ,
~ lLienor's Addressl
and tfiat in accordanc~ with a contract with ..~uglas Investments . Gorporation/Security., and ,
Investment Corporation. of. the_.Falm. Beaches~ .
.
lienor furnished labor, services or materials conaiating of: (Osscribe specially fabricated materials sepa~atelyl
Repairs, including without limitation, to bathroom, kitchen, roof, pool,
general lawn maintenance and cleaning
St. Lucie ........................................................County. Florida:
on the following described real property in
(Describe real property suHiciently tor identitication, including street and number, if known)
Lot 24, Block 385, PORT ST. LUCIE SECTION TWEATfY-FOUR, according to the
Plat thereof as recorded in Plat Book 13, Page 31, of the Public Records
f of St. Lucie County, Florida.
~
and
~ Douglas Investments Corporation/Security/Investment Corporation of
~ owned by.the ~~palm $eaches . . . .
~ Six thousand two hundred fifty-
of a total vslue of dollars lS . 6, 257.. 29_.........---......)
seven~~and~~-~9/IUU~~-~
of which there rsmains unpaid s....b, 257.,_29 and furnishsd the first of the items on
January 15 ~g...87_..ertdthelastoftheitsmson ....~rch..30~_._._1987 and (if the li~n
is claimed by one not in privity with the owner) that the lienor served his notice to owner on ....N/A
19.........., by...........-~-~---........._._............----...........----.....---....--~---................................ ,
(Method of Service)
and, (if required) that tha lienor servsd copiss of the notice on the contractor on
by and on ths subcontractor.
(Method of Servics)
i9.........., by..----......................._..-----..........-~ •
on
(Method o Service)
Q2Q~~- U`~
Lie
BY . : rn~-~-J... a.~-~'.C~
~ Agent
~ of . ...............................................19.~.~..
Sworn to and subscribed before me this
_-~s.~..- /.....~-%~l''.'?~ . -
Notsry Publid~ '
This /ns~rumc~n! pr~•pared by: Allen A. an nna Dark ~ S~
q~~r~,~4 640 S.W. Byr n Street
M~r Comnussia~ Ea~are: A~ 23, 1987:
Port St. Lucie, FI, 33452 k,e.s t~,~~~, fL~,-~.~~~.,,~,
. .
_ ,
~
' 8i~liZS ~ ~
~ '87 APR 29 P 3 :50
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' ' FILEO .
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SOU~UC ~ ~ _.~_:',r~ BOOKS~O P~CE 9~~
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