Sworn Statement of Account
MONROE COUNTY
CONSTRUcnON MANAGEMENT
-JUL 11, 2006----
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Power
South
5125 Hwy 85
Atlanta, GA 30349
404-763-0151
Sworn Statement of Account
State of Florida
County of Monroe
Before me, the undersigned authority, personally appeared Jeanine Giles, who after
being duly sworn, says that she is the Credit Manager of Cummins Power South, LLC,
and that in the pursuance of a contract with Patrick Power Corporation, Lienor furnished
labor, services or materials consisting of: Power Generation on the following described
real property: Freeman Justice Center, 500 Whitehead Street, Key West, IWoI PT
Jackson Sq, Monroe County Courthouse, PB 659/220, Monroe County, Florida, owned
by Monroe County Board of County Commissioners, 1100 Simonton Street Rm 2-213,
Key West, Florida 33040, and makes this affidavit pursuant to Florida Statues Section
713,6
Materials Furnished:
Materials to be furnished:
Labor or Services Performed:
Power Generation
Furnish emergency power generation
Labor or services to be performed: Start up of equipment
Amount paid on account to date:
$86,882.76
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Company Name: Cummins Power South, LLC f/k/a Cummins Southeast~~li6w&
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Amount due:
$8,327.25
Amount to become due:
$
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Jeanine Giles
Its: Credit Manager
Sworn to and subscribed before me by Jeanine Giles, who is personally known to me
and who did take an oath this 13th day of July, 2006.
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