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FIlEO AND RECORDED~ 1~~?7'j ~ i
ST, LUCIE COUNTY. FIA: ~
RFCORR VERIF~EQ
186 ~'76
'69 DEC 9 PM 2:33
~ A F F I D A V I T
RO~L~ ?OITRAS
CLERK CIRCUIT COURT~
IN RE: Lots 11 and 12, Block 15, PARADISE PARK,
as per plat thereof on file in Plat Book
8, paqe 17, public records of St. Lucie
County, Florida. ~
STATE OF FLORIDA
COUNTY OF ST. LUCIE
Before me, an officer authorized to administer oaths
and take acknowledgm~.nts, personally appeared ANI~ JOI3NSON, who
after being by me first duly sworn, upon oath says: That my
name is ANNA JOANSON, that affiant is a resident of the State
of New York and has never resided at 427 Douglas Court, Fort
Pierce, Florida. Affiant further states that she has no ac-
quaintance with a Carolyn Johnson for w2iom hospital services
were rendered by tlze Fort Pierce Memoria? Hospital in 1966 on ~
~
two occasions resulting in two liens being filed against Anna
i
i - - Johnsori;-~being~ reco3~~e8~- ~-ri ~Ofi'tciaY- Record--Book 165, at-pages - - - -
~ ;
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~ 631 and 1331, of the public records of St. Lucie County, Flor-
~
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~ ida. Affiant further states that she has never had occasion ~
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~ _ ~ F
~ to contract for hospital services for herself or anyone at Fort
~
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~ Pierce Memorial Hospital and that the Anna Johnson of 427 Doug-
~ las Court, Fort Pierce, Florida, is not the same ANI~ JOHI~TSON
~
f
~ as affiant. Affiant is one of the owners of the above described F
~ property.
~ Affiant States nothing further.
~ DiATID this day of October, 1969.
f
; Anna John n
~a~
Sworn to and subscribed before
r me this 3~ j` day of October,
~ 1969• TMIf INaTRUMENT PREPAREO BY
B. A. BI7TAN. JR.
• WILLES. BITTAN ~ GRIFFIN
~ i
- G ~ ~ ~ , a , P. O. BOX 30~ +
~ FORT PIERC6, FLARIDA 33480 •
~ Notary~ ~ic; S~~ ~of Florida '
~ _ ~
~ at Large~ ; , ~ : ~ : -rj - 7 Z
My Comtna~,ss i.on Expi;e$ i
~ww o~cas
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r--` - ~ ' • ~WILLES, BI7TAN & GRIFFIN
~ o F~ 1~~ ~E16~4
c. P. o. sox soa d00K PA
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, , . FORT PIERGE. FLORIDA aS4d0
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