HomeMy WebLinkAbout0237 r ivi lua nvuic 1115U1d1-1Vl1 sclQ!'1~i ~.r.~WUGI.AS DIRUN
3490 oleander Ave. 1021?33 ~ad F~;~st I.,~~-;~ ~o~,~,cy
Ft. Pierce, FL 34982 Doc'1'n>; Gefk ~~•~,urt
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Tnis InstrumeM Preparad
Kat ~y Cornell
Florida Home Insulation
3490 Oleander Ave. ~
Ft. Pierce, F1 34982
Property ApprYis~s Puoal IdontHiCation (Faio) Nurt~(s):
SIACE AlOVE ~l115 L1NE Fql rA0CE55N18 OAT~ irACf AqVE TW6 WIE iOR REC9~M8 OATA
` ~r~ ~~J 102~1~7 3 3 . ,
(~l~tt~t ~f ~~t~~
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~nt ~r,i ; . t i~N
~Nxte of ~lIIri~a . ' - .
~j of St.Lucie ~
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Bators me, the underaigned Notary Public, p~rsonally appsar~d RUS Se 11 A. SObC Zak
who was duty sworn and says thst hs is Q~1a1Nid~lWFYiKF4tfi~ s~~nt of the fisnor hsrein)
(DELETE ONE)
Florida Home Insulation
~Lienor's Name)
whoseaddressis 3490 Oleander Ave. Ft. Pierce, FL 34982 .
(Lienor's Address)
and that in accordsnce with a contract wich Gerald Johnson
602-A Westeria _ Ft. Pierce, FL 34982 ,
lienor furnished labor, services or materials co~sisti~g of: (Oescribe specia!!y fabricated materiass separately)
Insulation material and labor
i
f
~
j on the fol{owing described rea{ property in . St . LUC le County, Florida:
` (Oesc~ibe ~eai propesty sutficiently for identification, incfuding street and number, if known)
i 3197 Sunrise Blvd.
~ St. Lucie County
~ ~ 3'~ Pf 3G t~/k
~'I'llcra v, //a ~/e•9hf.5
~
~
~
~ ownedby. Gerald Johnson _
_ _ _ _
~
g , ot a tota~ vai~e ot Eight hundred seventy-eight and nol~QeQS ~s 878 . 00 ~
~ _ _
~
~ of which there remains u~paid f... 8 ~.8.'.~ ~ and furnishsd the first of ths items on
; Oct. 27, ~989
~ OC t. 2 7 , ~ 9 8 9 and the Isst of the it~ms on . , and (if ths li~n
~ is cfaimed by one not in privity with the owner) that the lie~or served his ~otice to owner on
~
~ ,7an. 18 ,19 90 , by Certif ied Mail ,
° (Method oi Service)
and, (if required) that Lhe lienor servsd copies of the notice o~ the contractor on
by _ _ _ . snd on ti?e subcontrsctor. . _ _ _ _ _ _ .
iMsthod of Service)
on . 19 . by .
(Method of Service)
Florida Home Insulation
r .
lie r . .
~ S 675 P~F 237 B ~ ~ ~ = . .
~ ~ Y A9e~ '
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Swom to and~ ,~~,T,~~crltled bef8re me this....,`...... dayq~ s'= C~ l 19- .
7~° c~~ _ _ _ _ ~`r' ~ - - ~ • . • . : .
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' fRetary, a~;t,l:~ ~
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