HomeMy WebLinkAbout0931 f35~1~30 ~ ~ .
RAMCO FORM 120S~i -
ftA. t~N MfCw?t1~q• `
?ItN I.AW. 11~.0~
, ~ ~ ~
~ ~ of S#. Lue,i.e ~
s•ron m•. tfi~ undani n~d Notary Publlo, p.non.» fi~onence P. Buh.di,ck - ~
~ Y ~PP~~nd
who wes duly sworn snd says that M is (th~ Il~nw Mninllthsa~~nt of th~ li~nor hKNn) ;
(DE~ETE ONE)
Tnecwune Caa~a~ Tnu.ae Co. , Inc.
>
(Cienor's Nama)
5600 We.d# M,idway Road fant P~.elcce, fi.~on.i.da 34981
whose addresa is • • - `
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lUsnor's Addrsss)
- and that in accordanc~ with ~ contract with .............MO~Qh CO?1.d~'ltt.iC~[.OYI
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......3247 O.~e.aredeJc Avertue Fo~i,t P~iehce, f.~oh.ida. 349k2
,
lienor (u~nished lebor, services o~ materials cons(sting of: (Describe specialiy Iabricated materials separatelyl
Roo~ rn.u.ase,~
S~. LUC.(.e ......................................County.Ftorids:
on the tollowing describsd real property in
(Deacribe real property au~ciantly for idsntificetion, inctuding str t and number, if known?
M11.. ~ . ~i
t1PkPh
- Lox 273
4336 S.W. 8.~m~i.ru,
~veiigneen C.eub,
~S:P-on~ S~cca~it, ~.~oh,ida 33494
owned by Mrl.. ~ JIULb . TciC~tQ1C =
. . ;
Fou~i Thouaand N.ine Nundned S F.~ Th~cee .
of a total value of ao~~e~s ta ......4, 953. =
. ~..~~.~..~.Q..C~......... :
of which there ~emains unpaid:...... 4'3' ind furnish~d th~ ~irs: of th~ it~ms on '
IlU ud~ 14 ~9 snd the last of ths items on Augu6.t 14, 1487 ~~f tM lian
.....g
is claimed by one not in privity with the owner) thst the iienor Yerved his notice to owner on .~~ObQh"
~ 20 t9...~.~... by............ u.S. MA.I,e
(Method of Service)
and, iif requirsd) that the lienor senrsd copirs of th~ notica Qn tF» contractor on ~~O6Qll. 20, 1987
by U.S. Ma.(,e end on th~ subconu~ctor, -
(Method Qf Service)
on......-• .................................................................19......:..., by..-•-..........._........................_............... ,
lMethad of Service)
Tn~aa.wce..Coa.b.t.,Ticuaa..Co...,...Inc,
Lienor
.
B . . . . . . . . .
r:gent
Sworn to and subscribad before me this.... ~.~~..........day oi `-..r.~.~. 9.~...1.
~_C?.S'~:s~.,'~~,-~=:N.. ~..'~i.~.\~~'~,~~...........
Notery Public
T/tis /nstrum~n~ prNparc~d by: F.eonence P. Buhd~.ch
~fddr~•~.~ 5600 Gleb.t M.i,duxzy Road ~arr ~ M~
Fan.t P.~e~cce, Fkon.i.da 34981 ~~~w ar ~cnr N.~~
$5~31~3~ t"°" ~,w~,
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; ~ F,ro~! 12 P 2 ~21 ~
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