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RAMCO FORM 120Yi
fu. ~NO M~c~~c~•
UEN LAW. n »sa
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~ ~ Indian River ~
Mar aret E. Mann Es uire
B~lors ms. the undsni~n~d Notary Publio. p~`sonsllY app~arsd g q...
who was duly swom and says that She i s ~QMt ot th~ li~r~or h~nin}
(DE~ETE ONE)
Atlantic Roofinc~ of Vero Beach, Inc.
. lLienor's Nams)
whoseaddressis.~340 12th Avenue, Vero Beach, Florida 32960
, . .
i (Lieno~'a Address)
andthetinaacordancswitheconuactwith..Atlantic/K~nxon Construction Grou~ .
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' tienor (umished lebor. services or materials consisting of: (Describe specially fabricated materials separately)
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Roo~ing material and labor
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~ ~ g St. LuCie ..........................County.Florida:
q M on the foliowin described reai property in
~ b" 3 ~ t (Describe real property suificiently tor identification, including st~eet and number, if known)
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W r-1 N M
b MN Tract E, Port St. Lucie, Section 18, according to the Plat thereof
~ recorded in Plat Book 13, pages 17, 17A - 17K of the public records
ro~ of St. Lucie County, Florida
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~ W0q`'' ~ Lakeside Center Assoc., Ltd.
~ U • owned by ~
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a~ ~n o a~z
~°Q ~ of a total value of Eighty-Nine Thousand Se~~en Hundred ~oua
s~ty... 89 , 730 . 00 }
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rn ~ • o w '
~ r+ o~r+ 9, 000 00
, c~ O• y y of which thers remains unpeid s and furnishsd the tirst of the items on
£UWDH
Apr.i 1._ 1,... ~ 9.. and the last of the itema on JLtne 2 4, 19 8 7 , and (if ths lisn
-
H is claimed by one not in privity with the owner) that the lienor served his notice to owner on
z April 28, 87 Certified Mail, Return Receipt Requested
19........... by.........---......_............................._..
a
` H 1Method of Service)
W and, (if required) that ihs lisnor served copiss of ths notice on ths contractor on Apr i 1 2 8, 19 8 7,
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; Q by....~ex.~~,~.~,~.t~...m~~.~ and a copy to the...k.4n~.~,~1.g...~g~z~t........----~--................
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' ~ Apri~~~8 , 9~ce)
; A on ...................................................................•.19...........by...C.~X't.J..~xe~...ICld.a.,~.........................
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~ a (Method of Service)
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s ~ Atla.ntic..Roofing..nf...Vero...8each.,.xnc.
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~ Lienor
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Bv .`7..Z7.s~~ ''~,c:c~... c~~_. CYYt a.,~.~
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~ Agent
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~ Sworn to and subscribed before me this ...............~.Q~rl......day of ......,5.~},3~.~Ilib('r ~ g__87,,,
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~Y 6^y~!S'_?05 EXF. ~'.iiu ~~,1y3~ l~tlC~( /~'i''~~j~
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; BSi,C~a iNa~l 4.t:_„AL it:S. lr:~. . . .
: Nota ( Public
~ '1'l,i.~ l,~.rtrum~~n~ pr~~nrr~rl hi•: Margaret E. Mann, ESq.
.•1J~/r~~..~ Collins, Brown, Caldwell & Mann
P.O. Box 3686
i~~. Vero Beach, Florida 32964
~87 SEP 14 P3~a~ (305) 231-4343 ~ ~
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