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HomeMy WebLinkAbout0930 • s : < j _ _ 'r:. _ ~ , - ~'~a'~~.g . . R/?i1RC0 FORM 120Sh fu?. ~fb beC++~~cr _ u~N u?w. »>a ~j~~~ - ~t 0'~ C.~"'~""` . _ ~ ~ ~ ~ Bsfon m~. th~ und~ni~n~d Notary Publlo~ pKwr~lly r.ppts~~d wha was duly swcm ~nd says tfiat h~ is (th~ li~nor Mr~i~) ( ]0#~MiC~O~#Ml~) (DELETE NE) - .:.........................~ynn..F.r.ench...........................................................................................:...................:... _ . (Li~nor's Nam~) . Wt,ose e~a~ess ~s ..........:...11.~9...~Gountr..y...G.ar.den..Road.,...F.ar.t..P.iexc.e.,...FJ.ar.i.~a............, ~ (Li~nar's Add~ess) and that in eccordanc~ vvith ~ coM~sct wtth ~ r.s s x d en ~x a~...Home.s........................................ , . lienor furnishod labor, services or mat~rials consisting of: lDsscribs specially tabricated matarials sepsratsly) Drywall. Labor ~ _ . . Port St . Lucie ......................................cou~ Florida: on the following describerd rsal property in ' tY. ~ (Describe reai property sufficiently fo~ identificat~on, including strset and number, if known) . ~ 634 Karrigan Terrace K-2~+, B-317, Sec 3 . Port St. Lucie, Florida - . ~ ~ ~ ~ ~ ~ ~ ~ - owr.edby•-....••-•••..........V1C Maiorana ~ - - ot a totai va~~e ot ......~hr~e ~~hu~d~r~d-~~a~d~-~fo~r~~ e-i: h~t--dal ~g~ia~s ts ...348~.-40..-.....-~---~~---:.) ; . y~-~ g E E ~ of which thers remsing un~aid S..........3~+.H...O~ and fumish~d tfis'first of th~ n~ms 9n . 18 and the Isst of th~ it~ms on and lif tM li~n ~ ~ . ~ is claimed by one not in privity with the owner) that the lienor served his r~otice to owner on ~ 19.........., by.-.................:............................_.......:.................:...---......_...................... , (Method of Servicel and, (if required) that the li.nor ssrv~d copl~s of it~e~notic~ on the conVsctor on by~ and on tfio wbcontr~ctor.............-•••••••...._.........................:.................. - . (Metfiod of Sen+ics) _ . on 19........... by.....................-~----•-•--•-•------~-------~----.....----....--~--... , _ ~ (Niethod of Service) . t~8~ 1:!'r ! E~a~~ S 0 .N.N...~'ReA1.~... ~ Lienor . ?lLEf tt,~ • ~ . . S~ 1l"'!i t.t"'+' RG:if r t'Ci' By . - fLEF~'f.CIE~~4ii t~~y~~:nj _ Agent ~ t~'/ /'-d . ~ . . p^~ - - Swor~ to and subscribacf bafore me 2his. ..4:...........day of 19. Z . # ~ ~ ~ ...~~"X-~'~C.........tl~...... ~ ~ Notary Public . , - ~ ' .i - ' This lnstrtunent prE:pured by: . Y~~ - .:~+t~~'• rr., ~d~t~P~s ~ . ~YCf M. I~cGP,~W ~ ~ . _ ~ • N~OTARY PUBLIC. S1AiE OF i i(3~tt~1 '~T~ ~;iF~~••' ; t,~' fOMMfSSlpH EX.PIRES MARCN ; ' _ = : ; ~ . - _ ~ T~1 t~IiERAI INS. UI~rRt~ ~ . ~ _r. ~ ~ _ }/'t, ' ~ + . s x.,~ = ; . . ~ , > . ~ ~ - ; ;e ' - . • •s ~ . ; , • - ~ . . ~ - . D00~1(~ P~Gf ~7~7ff