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Pursuant to Ct~apter 53-410, Acts of 1953, LEE R. HORTON, JR., as
Public Defender for the Tenth Judicial Circuit of Florida, files
this, a Stetement of Claim, against JACKSON, Raymond ~ ,
whose eddress is General Delivery, Ft. Pierce, Florida ~
and in favor of the State of Florida in the sum of $100.00 Dollars,
pursuant to Court Order dated December 16 , 197
1, for ser-
_
vices re~dered as Public Defender for the above-named defendant,
in Case ro. 354? ,
up to and including December 16 , 197~, in the '
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Circuit Court of Highlands County, Florida.
Thi s December 22 . 1~7 1
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' E R . IiORTON, JR .
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~ Public Defender, Tenth Judicial
; Circuit of Florida :
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~ S~aorn to and subscribed before me at
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~ Lake S7ales, Florida, this 22nd d8y '
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~ of December ~ l97 1
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