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AFFIDAVIT OF NON-PAYMENT
STATE OF FLORIDA SS Case Na
COUNTY OF SAINT LUCIE
The undersigned. being first duly sworn. deposes and says as follows :
(Plaintiff)
1. That (s)he is ( in Case No. 74-1225-SP-O1
. )
in the Civil Division of County Court of Saint Lucie County, Florida, wherein
G B HUTCHINSON ~
is Plaintiff (s) and BILLIE ANN ROUSE -
is Defendant(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. That of ~~he money stated in said Stipulation to~e due said , Plaintiff (s) from said Defend-
ant (s) ~$205. 50 ) d~g~ plus $ l~ ~$18 . 50 costs are now past due
~ and wholly unpaid.
And further the undersigned saith not.
'
/t~,r'ij/IZ~~-~
ROGER POITRAS CLERR CIRCUIT COURT "
Subscribed and swom to -
before me this 14th
293606
day of ~tober
F L,ED AMD RECOROED
19Z~. B~. LUCIE COUNTY fLA.
ItOCER PO~TRAS
BY~ . ~1` - Q1ERK CIRCUIT COUlIT
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BOOK ~J~ PACE~787
FORM SCC 135-H
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