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1859 Pine Tree Drive - Peppin, Donna & Lisa Werie & Katherine Hodges - 10-21-2011 - $492.92 • 10/21/2011 01:05 PM Instrument# 2011-178795 # 1 THIS INSTRUMENT PREPARED BY Book : 6643 AND SHOULD BE RETURNED TO: Page 3691 Robin Matusick,Paralegal Diane N. Matousek CITY OF EDGEWATER Volusia County, Clerk of Court 104 North Riverside Drive Edgewater,FL 32132-0100 (386)424-2400,Option#1&Ext#1203 UTILITIES LIEN CITY OF EDGEWATER DONNA MARIE PEPPIN & LISA ANN WERLE & KATHERINE F HODGES Pursuant to the provisions of Chapter 19 (Section 19-6), Code of Ordinances, City of Edgewater, Florida, the City of Edgewater (the "City") furnished utilities services to the following described real property located in Volusia County, Florida: LOTS 3412 & 3413 BLK 68 FLORIDA SHRS UNIT 5 MB 23 PGS 107 & 108 PER OR 2858 PG 0007 & D/C OR 4468 PG 1425, in the public records of Volusia County, Florida (Property location: 1859 Pine Tree Drive, Edgewater, FL), Parcel #8402-01-03-4120 The record owner is Donna Marie Peppin & Lisa Ann Werle & Katherine F Hodges, 1859 Pine Tree Drive, Edgewater, FL 32141. The City hereby claims a lien in the amount of FOUR HUNDRED NINETY TWO AND 92/100 dollars ($492.92), plus interest in the amount of seven percent (7%) per annum from the date the utility bill was rendered, filing fees, and any other costs incurred by the City. WITNESSE CITY 0 EDGEWATER,F : ' DA Tr cey T.Barlow y Manager Dated• ?m Ya,, 2J Signed,sealed and delivered in the presence of: STATE OF FLORIDA COUNTY OF VOLUSIA I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments,personally appeared TRACEY T. BARLOW, CITY MANAGER for the City of Edgewater, who is duly authorized to execute this document on behalf of the City of Edgewater, Florida, and is personally known to me and who executed the foregoing instrument and acknowledged before me that he executed the same. WITNESS my hand and official seal in the County and State last aforementioned this �„�0® *a;y o` September 2011. . ••••• MY ��/ €'t• dd' r^ a:• ttdfs�� (Seal/Stamp) ��l♦I)♦�: _ . .!• o yi (Commission Expiration Date) Notary Public ` ?'; a g,, w :f; •Ve:y cPS �•cti State of Florida at Large r�'.•� 2 ,Y� Liens/Utility Lien-Peppin,Donna Marie&Werle,Lisa Ann Werle-Hodge,Katherine F-2011 ..• .m°.r 0,(c.,'••••••• •• �q�a, Sec. I Account # / C//49 ? — VO 4 6 Address ! ( �''' ? T I rvf. f i, d , Description Date UT amount Not current ° print Customer at a glance Print County Parcel Page Print County Parcel Extra Legal Print Deed or Cert. Of Title Check for Existing Liens 7 0 1. 7C, /,)3./ti Create Lien Form Letter Add UT Pop notes Robin - add to lien DB if Parcel# Q a- o- 0 7— 4,0 Volusia County Property Appraiser's Office Page 1 of 3 -+ p Volusi County Appraiser's Office Cou The Volusia County Property Appraiser makes every effort to produce the most accurate information possible. No warranties, expressed or implied, are provided for the data herein, its use or interpretation. The values shown in the Total Values section at the end of the Property Record Card are "Working Tax Roll" values, as our valuations proceed during the year. These Working Values are subject to change until the Notice of Proposed Taxes (TRIM) are mailed in mid - August. For Official Tax Roll Values, see the History of Values section within the property record card below. Notice of Proposed Property Tax IL- Get the latest Adobe Requires Adobe Reader Reader Volusia County Property Appraiser's Last Updated: 09 -13- Office 2011 : °' Today's Date: 9 -13 -2011 Property Record Card (PRC) 'Volusia County Morgan B. Gilreath Jr., M.A., A.S.A., C.F.A. FLORIDA Property Appraiser Full Parcel ID 02- 18- 34- 01 -03- Mill Group 604 Edgewater Short Parcel ID 4120 8402 -01 -03 -4120 Alternate Key 3918258 2011 Proposed Millage 25.87930 Rate Parcel Status Active Parcel PC Code 01 Date Created 06 JAN 1982 Owner Name PEPPIN DONNA MARIA & ( GO TO ADD'L OWNERS J Owner Name /Address 1 LIDA ANN WERIE ( ESTIMATE TAXES j Owner Address 2 40 LAKEWOOD DR APT A3 Owner Address 3 CANGERS NY Owner Zip Code 10920 Location Address 1859 PINE TREE DR EDGEWATER 32141 L EGAL DESCRIPTION LOTS 3412 & 3413 BLK 68 FLORIDA SHRS UNIT 5 MB 23 PGS 107 & 108 PER OR 2858 PG 0007 & D/C OR 4468 PG 1425 S ALES HISTORY # BOOK PAGE DATE INSTRUMENT QUALIFICATION IMPROVED? SALE PRICE 1 4609 3532 7/2000 Personal Rep. Affiliated Parties Yes 1 2 2858 0007 8/1986 Quit Claim Affiliated Parties Yes 100 3 1689 0660 11/1973 Warranty Deed Qualified Sale No 2,000 H ISTORY OF VALUES ( GO TO ADD'L HISTORY YEAR LAND BLDG MISC JUST ASD SCH NS ASD EXEMPT TXBL SCH ADD'L NS (S) ASD TXBL EX TXBL 2010 16,800 51,034 843 68,677 68,677 68,677 68,677 0 68,677 68,677 0 68,677 http: / /webserver. vcgov.org /cgi- bin/mainSrch3.cgi 9/13/2011 S A Customer at a Glance ° " File Edit Commands Help t. SECTOR s Account 1at s Customer Information r^� i 3- Customer Alerts r ® rere Accounts receivaol ' M Consumption Customer name: PEFFEN DONNA OR WERIE LIDA Confidential: No M WA WATER Billing address: 191 B KEARSING PICKY Cash only No ® Credit history data 1-1 ; IDB account: ® Deposits MONSEY, NY 10952 I t Special code: ® Fendingtraneao Delivery point: Bud billing: billng: No ® Recent activity ctl Phone number: 0 . 0, Special notes: Yes . i 1 , Customer status: ACTIVE i j NSF count: �-1 Customer Account Information 7 , Service Summary .3 dp Deferred amount: y 4.OD i rvice address: 1859 PINE TREE DR. EDGE8AT � t Initiation date: 1/01/1999 ,�? Amount due: 2,527.25 I; : i " ON Pending: 0.00 I Account status: ACTIVE , F . r Customer type: I K, Delinquent amount: 2,417.82 �f FXII Last notice: . Service Rate Group Status Meter I � Cutoff date: 8/18/11. € , Next customer Cycle /route: 01 / 16 i 7, i IL_ - .,.,_,„_, ' i ■. t TrnTu Tv 'le Trn0 De'. npt:cn f Bill Date Die Date Amount Pu nr'nna Balance !Bill ' CYCLE BILL ®:.10/04/11 IMINICEMMIIIIIIIME01111 20 Day Delq Charge 2,473.87 � 8/16/1 30 day delinquent 30.00 Ilc a. • 8/14)1 9/06/11 i . 53.38 2,441.20 ® 8/04/11 20 Day Delq Charge INEMENNIMINIUMIIMMEMI 2,387.82 .Consumption... liannillinillanall 30 day delinquent 30.00 IIIIIIIIEEEMIIN .. . CYCLE BILL �a4i>i � Service orders 20 Day Delq Charge . ` _.: tffr ,Wser.7et PADI3 i 4,/ Rudy '; EEIIIIIMIIIETIMIIIEELEIIIEBEIEEEIIIIIIIIIIIIIIIIIIIIIIIIIIIIHIE . 20 Day Delq Charge ® ® ®3 day delinquent . ® HT001 W ,. .11111111111111111111111111111111111111111111111111111111 ,rigNIM Mrscellaneou... Job sent to the printer `J ' J'iIt i ® r1 •• EDGEKAW 051191102 ® nal k:;9 ',iN' x , 5' §d ,4, s 6etaV5 1 ■ .Inm seta . � • �NLiac � .A•1 it i:kw.M� 1 stern /'' ; dP4)k Sotto,. 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