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~ STATE Of FLORIOA
FOftT PI~tCB MEM4RI~L H08PIT11L, I~C., ~ ST. U1qE COUNTY ~
a llorida non-protit cc?~cporation, i. WILLIAAt g,1Y~ 9~n~i q~ p~
: ~ad~, he~eby cerMy the within ~nd fdr~i~
Plainti~t. ~o be ~ hue ~nd cotrxt cop~,Qt~l,~q~yl
~ ~s it ~ppws on Record ~d'~ ~0!
ottM smea t~aims ca~K.p~~,~;;~?:.}
vs . : ~ ~ ~,~nQ Sm~M q,~~ ~ ~
HAZSL O' ROt)RK~, fqt • F~p~~ • ~ : °
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- Dslendant. - -
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FZNAL ~7UDGM~i'P "s-~-c" ~
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~'EiZ3 CA~JSB cominq on to be haard thi8 15th day ot Dscembsr,
1967, and it appearing to the nourt that peraonal servic• was had upon. _
the Defendant, HAZBL O' ROtJRK~, as authoris~d by law, and it further
appaarinq that said Defa~dant ia indab~ed t~o the Plaintitf in tha awn of
FZVE HUNDR~, SDCTY-LtI~TB and 45/100 ($569.45) DOLI.~RS, tor hoapi~l
services provid~d by tha Plaintiff tA the Defendant betr+een ~pril ~4,
1967, a~d l?pril 20, 1967, and Jtily 1, 1967, thrcugh J~ly 7, 1967, for
which ths Def~ndant aqreed in writing to pay, includinq all costs of
collection, includinq reasonable attorneys' tee, and th• Court being
~ ivlly advised in the premiees,
IT IS THER~t1PO~N ORDffit~ 1~D ADJUDGED that a Final J~dgmont be,
and ie horeby, entsred on behalf of the Plaintiff, FORT PIERCS M1~ORIP?L
,
H03PITl~?L, Zl1C., against the D~fsndant, BAZBI. O' ROtJRKS, in tha amount of
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glvg I~UltDR~, SIXTY-MINS and 45/100 ($569.45j DOR.LARB, plue $,1~5 ~v
av a roasonable attorneya• fee for Plaintitf's att~orneye, $17.50 tor
Conrt ~osts, snd $ 6. ~ intereet aa alla~rsd by la~+ tor a t~otal of
f~4~/ , tor all of which l~t ex~cution lasu~.
DO~is ~ ORDBR~ at Fort Pierce, Florida, this _/a z~ day
ot Decaabsr, l~.D., 1967.
F1LE0 ~.1~~0 RECORp~O _ 01~
ST. LUCIE COUNTY, .,,~5~ / -~~--CCc u,xw~Z
?F ^~;,r. ~FLA. S~aall Claims Coust ge
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'6T 16?2~662 -
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