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c~tRK C~~~u~t Cou~t STATEMENT OF CLAIM AND N07ICE OF ~33
RF!;OR~1 VEI~~c~ED.-.••~•-~' L N
~ Ow ~N'~6
~ I, Elton H. Schwarz, as Public Defender for the
Nineteenth Judicial Circuit of Florida, by virtue of the #
authority vested in me under Section 27.56 Florida Statutes,
claim a lien in favor of the State of Florida and the .
County of St. Lucie in the aqgregate sum of
S 275.00 against all the real and personal property
presently owned or hereafter acquired by ~
. ~
DONALD W. SPIVEY Nhose last
known address is: 2414 South 37th Street, Ft. Pierce, ~
County ~
Florida as a result of the
Court of said County having entered its Order Determining
Reasonable Value of Public Defender Services and Costs of ~
Court on April 12, . , 197 6 as appear in Case no.
75-10174 TT wherein the State of Florida was Plainti-ff
and DONALD W. SPIVEY was defendant and said
defendant having failed to pay said sum as ordered, and Exe-
, . cution having been issued thereon.
In witness whereof I have hereunta set my hand and
seal this 27th' day of MaY 197 6.
~ ~
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; 1-~~~ H c z
; Publ ic Defender
; 834 East Ocean Boulevard
Stuart, Florida 33494
~ S7ATE OF FLORIDA
~ COUNTY OF MARTIN
~
~ Before me, the undersigned officer, personally appeared
e Elton H. Schwarz, known to me to be the person who executed the
~ above Statement of Claim and Notice of Lien and he acknowledged
~ before me that he executed the same for the uses and purposes
~ set forth therein in his capacity as Public Defender of the
~ Nineteenth Judicial Circuit of Florida.
~
t Witness my hand and official seal this 27thday of
z
~ Mav , 197 6 _ .
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; NOTARY PUBZIC STATE OF flQR10~
° MY COJMMISSION p(~IRES StTT; .~1R'~ .
` ~~~4GENERM INSURMlCE Vf~pE(lyy~j~(~,•
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