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F LEO ANU KE~U'~ t~~E~~~~ {
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CIEFK ~r` ~utT
COU~T
nFCOAO~E~'F~f~ ' TATEt4ENT OFLCENIM ANO NOTICE OF .
1 110~ i~1 ~6
I, Elton H. Schwarz, as Public Oefender 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 aggregate sum of
25.00
s against all the real and personal property
presently owned or hereafter acquired by ~ ~
WAYNF t .~~~ar,FNSFN Nhose last
known address is: 2205 E~izabeth Ave., Ft. Pierce, Florida
~ as a result of the County
Court of sai d County havi ng enterecf- ~s- Order Determi ni ng
Reasonable Value of Public Defender Services and Costs of
~ourt on Apri 3 6 ~ 197 5 as appear i n C~se no.
76-262MM wherein the State of Florida was Plaintiff
and WAYNE S. JURGENSEN 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 hereunto set my hand and
seal this 27th' day of MaY , 197 6,
~ -
L " G~
~ ~ A~~
Elton . w rz
Public De ender
~ 834 East Ocean Boulevard
; Stuart, Florida 33494
! STATE OF FLORIDA
E
€ COUNTY OF MARTIN -
€
~
~ Before me, the undersigned officer, personally appeared
~ 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
~ Nine~ceenth Judicial Circuit of Florida.
.
~
~ Witness my hand and official seal this 27thday of
Mav , 197 6
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4 NOTARY oUEIK S~ATE OF FIOR~DA I~i,WlG~"'
Mt COAtMIS510N EXPIRES SE/T. 29:'~97A '
a ~ /KINCEC THRU GENERA[ INSNRANCE UNCERWIRF#~~~~~•"''~ '
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