1995-1027_BOB WETZEL CONCRETE_Preliminary NoticeYOUR Almini IS DIRECTED Tn 6Ral N5111, t 1 PHU 31I1, CALIFORNIA CIVIL � NMICH REOl11RL511> i0 N0iI1Y
YOU"THAI IF 2'ESPep IVOlVR:IN PJLLFOp lA90P-SCRNf,EE,E9UIp ENiORMA RNISHED. O'note RN154ED. - --
WC IMPp(Airy HICH ESCRIBED
ROVED PRO(W6 DHEREON) MAY BE SUBJECT i0 LIEN (HI$ STATEMENT IS
APPLICABLE TO PRIVATE WORN ONLY,)
THIS LS NOT A LIEN. THIS IS NOT A REELECRON ON THE &IEORI\Y Or ANY CONTRACIOq OR SUBCONRACTOR.
Inshucnonr A FIII out form complefely and leIll Use typewriter If possible.
B. Assessor's parcel numbermaybYe obtained from the County Assessor.
M CalifoTn�ianClNi CoMtlee SecMtin 3aW I(C)filed with the County RecordeYs Office "Watt to
ilr 1`I:
DATE ASSESSOR'S PARCEL NO
YOU ARE HEREBY NOTIFIED:
THAT THE UNDERSIGNED HAS FURNISHED OR WILL FURNISH LABOR, SERVICES,
(NAME)
ADDRESSY
INDIVIDUAL
OR
FIRM (CITY) RL,(sT [ (ZIP)
THE NAME AND ADDRESS OF THE PERSON WHO CONTRACTED FOR THE PURCHASE
EQUIPMENT OR MATERIAL IS:
OF THE
(DESCRIPTION OE LABOR SERVICES, EQUIPMENT OR MATERIAL)
(ADQRESSOF BUILDINQ, STyUCiURE. WORK OR IMPROVEMENT)
SERVICE,
NOTICE TO PROPERTY OWNER
If bills are not paid in full for the labor, services, equip-
ment, or materials furnished or to be furnished, a
mechanic's lien leading to the loss, through court foreclo-
sure proceedings, of all or part of your property being so
improved may be placed against the property even
through you have paid your contractor in full. You may wish
to protect yourself against this consequence by (1) requir-
ing your contractor to furnish a signed release by the
person or firm giving you this notice before making pay-
ment to your contractor or (2) any other method or
device that is appropriate under the circumstances.
1i FUNDS TO WHICH SUPPLEMENTAL FRINGE BENEFITS ARE PAYABLE
NAME
ADDRESS
NAME
ADDRESS
NAME
ADDRESS
(MATERIAL MEN NOT REQUIRED TO FURNISH THE ABOVE)
ESTIMATED TOTAL PRICE OF
LABOR. SERVICES EQUIPMENT
OR MATERIALS DESCRIBED HEREON.
I �
PROOF OF SERVICE AFFIDAVIT
declare
(SECTION
hat I servedAcopiesoofLthe above PRELIMINARY NOTICE (check appropriate box).
(a) By personally delivering copies to at
(nome(s) and titles) of person served) (address)
on 19 _ , at _.M.
(b) ElByBy first Class Certified or Registered Mail service, postage prepaid, addressed to each of fhe parties at the address shown above
on 19
Aare under penalty of perjuy that the foregoing is true and correct.
Signed at -� :d - , California, on 19
.CH RECEIPTS OF CERTIFIED OR REGISTERED MAIL WHEN RETURNED)
ORM. 4S449r4P449 POLYPAK(w SETS) SIGNATURE OF PERSON MAKING SERVICE
OWNER COPY
OWNER
OWNER.
REPUTED
PUBLIC AGENCY
- - 1 = : tt ZIr 1 _ .- f•: .
TO:
ORIGINAL
CONTRACTOR
OR
REPUTED•
CONTRACTOR
-
'
TO:
CONSTRUCTION
LENDER
OR
REPUTED
CONSTRUCTION
LENDER
TO:
SUBCONTRACTOR
OR
REPUTED
SUBCONTRACTOR
OF THE
(DESCRIPTION OE LABOR SERVICES, EQUIPMENT OR MATERIAL)
(ADQRESSOF BUILDINQ, STyUCiURE. WORK OR IMPROVEMENT)
SERVICE,
NOTICE TO PROPERTY OWNER
If bills are not paid in full for the labor, services, equip-
ment, or materials furnished or to be furnished, a
mechanic's lien leading to the loss, through court foreclo-
sure proceedings, of all or part of your property being so
improved may be placed against the property even
through you have paid your contractor in full. You may wish
to protect yourself against this consequence by (1) requir-
ing your contractor to furnish a signed release by the
person or firm giving you this notice before making pay-
ment to your contractor or (2) any other method or
device that is appropriate under the circumstances.
1i FUNDS TO WHICH SUPPLEMENTAL FRINGE BENEFITS ARE PAYABLE
NAME
ADDRESS
NAME
ADDRESS
NAME
ADDRESS
(MATERIAL MEN NOT REQUIRED TO FURNISH THE ABOVE)
ESTIMATED TOTAL PRICE OF
LABOR. SERVICES EQUIPMENT
OR MATERIALS DESCRIBED HEREON.
I �
PROOF OF SERVICE AFFIDAVIT
declare
(SECTION
hat I servedAcopiesoofLthe above PRELIMINARY NOTICE (check appropriate box).
(a) By personally delivering copies to at
(nome(s) and titles) of person served) (address)
on 19 _ , at _.M.
(b) ElByBy first Class Certified or Registered Mail service, postage prepaid, addressed to each of fhe parties at the address shown above
on 19
Aare under penalty of perjuy that the foregoing is true and correct.
Signed at -� :d - , California, on 19
.CH RECEIPTS OF CERTIFIED OR REGISTERED MAIL WHEN RETURNED)
ORM. 4S449r4P449 POLYPAK(w SETS) SIGNATURE OF PERSON MAKING SERVICE
OWNER COPY