1997-0915_PETAR ARTUKOVICH CONSTRUCTION_Preliminary Notice #20125 PRELIMI IRY 20-DAY NOTICE NOTICE TO PROPERTY OWNER
(This form may be used on both public and private projects) If bills are not paid in full for the labor,
services, equipment, or materials
furnished or to be fumished,a mechanic's
TO: CONSTRUCTION LENDER (Or Reputed Construction Lender) (if any) lien leading to the loss, through court
foreclosure proceedings,of all or part of
your property being so improved may be
Name: None placed against the property even though
you have paid your contractor in full. You
Street: may wish to protect yourself against this
consequence by (1) requiring your
City, State, Zip: contractor to furnish a signed release by
the person or firm giving you this notice
TO: X OWNER (Or Reputed Owner) ❑ PUBLIC AGENCY before making payment to your contractor
(On Private Work) (On Public Work) or (2)any other method or device that is
appropriate under the circumstances.
Name: City of San Juan Capistrano
MAILING INSTRUCTIONS
Street: 32400 Paseo Adelanto
(1) If the person resides in California,the
City, State, Zip: San Juan Capistrano, CA 92675 notice may be served by first class
registered or certified mail, postage
TO: ORIGINAL CONTRACTOR (Or Reputed Original Contractor) prepaid,addressed to the person at his or
her residence, or place of business
address, or at the address shown by the
Name: Petar Artukovich Construction Co.. Inc building permit on file, or at tho address
shown on a recorded Construction Trust
Street: 8243 Serenta Drive Deed.
City, State, Zip: Whittier, CA 90603 (2) When service is made by first class
registered or certified mail, service is
General description of the labor, service, equipment, or materials furnished, or to be complete at the time of the deposit of mail.
furnished and an estimate of the total price thereof:
Traffic thermo spray - striping
If this notice is given by a subcontractor
who is required under a collective
bargaining agreement to pay fringe
benefits,the names and addresses of the
fringe benefits trusts follow:
$ 1 ,732.02
NAME AND ADDRESS OF CLAIMANT GIVING THIS NOTICE:
Name: Morton International, Inc.
Street: 1675 Commercial St. NE
City, State, Zip: Salem, OR 97303 PROOF OF SERVICE AFFIDAVIT
NAME OF PERSON OR FIRM THAT CONTRACTED TO PURCHASE THE LABOR, The undersigned served copies of this
SERVICE, EQUIPMENT, OR MATERIALS: Preliminary 20-Day Notice by first class
registered or certified mail, postage
prepaid, on the persons ana at the
Name: So Cal Striping, Inc. (Job#115) addresses shown on:
September 15, 1997
DESCRIPTION OF JOB SITE SUFFICIENT FOR IDENTIFICATION: (Date)
I declare under penalty of perjury under
Camino Capistrano the laws of the State of California that the
foregoing is true and correct.
Job: Marbella Gravity Sewer
Dated:
September 15, 1997
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STAPLE RETURN RECEIPTS HERE: M� __ .. � �� ���
Sign ure:
4 i
1 - Lender C.22- Owner or Public Agency 3 - Original Contractor 4 - Subcontractor 5 - File