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AFFIDAVIT OF NON-PAYMENT
STATE OF FLORIDA SS Case No. ~~~D70
COUNTY OF SAINT LUCIE
The undersigned. being first duly sworn. deposes and says as follows :
1. That (s) he is (Agent
for Plaintiff ) in Case No.
(Attorney for Plaintiff)
in the Civil Di~~sion of County urt of Saint Lucie Cqunty, Florida. wherein
.
is (are) Plaintiff (s) and -
is (are) Defendaat(s):
2. That said Defendant(s) has (have) failed to make payment of money due said Plaintiff(s)
in the manner provided in the Stipulation hereinbefore filed in this cause.
3. ~'hat of the money stated in said Stipulation to be due said Plaintiff (s) from said Defend-
4 ant ~S~ $ ~7 /O damages plus $ ~o~ ~~7 costs are now past due
~ and wholly unpaid.
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~ And further the undersigned saith not.
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M~ °'SA~ ~DV6 C.,p~g...
Subscribed and sworn to
before me this '
day of
: 19 flLED ANfl RECOROEp
fT. L1lCIE COUMTY FU.
" ROCER PpITRAS
~ . . CIERk CIRCUIT COURT
~ ,.=i~~~?f:i„~" RECORD 1IERtF~Ep`~~
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BOOIt~~~ PACE~~
FORM SCC /35-K
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