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FlEO ANp RECOR~EO `
S~. ~UC~F COUMTY F~A. 3
IlOCER ?0?TRAs ~3~~j'f` *
CLEttk GIRCUIT COURT
RECOROVEP.~~iEO......_~.. STATEMENT OF CLAIM AND NOTICE OF .
JU~i ~ 08 ~'7~ L N
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~ I, Elton H. Schwarz, as Public Defender for the .
Nineteenth Judicial Circuit of florida, by virtue of the
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authority vested in me under Section 27.56 Florida Statutes, ~
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claim a lien in favor of the State of Florida~~ and the
County of St. Lucie in the aggregate sum of ~
;~~_p~ against all the real and personal property
presently owned or hereafter acquired by ~ :
~
:
DALE JACKSON whose last i
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known address is: 309 North 20th St., Ft. Pierce, Fla. ~
~ as a result of the County ~
Court of said County having entered its Order Determining ~
Reasonable Value of Public Defender Services and Costs of
~
,
Court on March 29 , 197 6 as appear in Case no. ~
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76-193-FM wherein the State of Florida was Plaintiff '
and DALE JACKSON was defendant and said ~
~ defendant having failed to pay said sum as ordered, and Exe- ~
i
cution having been issued thereon.
In witness whereof I have hereunto set my hand and
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seal this 27th' day of May , 197 6.
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; ( SEAL )
~ ~N. t warz~ -
Pub ic Defender
~ 834 East Ocean Boulevard
I
Stuart, Florida 33~94
~ STATE OF FLORIDA
~ COUNTY OF MARTIN •
~ Before me, the unders~gned officer, personally appeared
~ Eltan H. Schwarz, known to me to be the person who executed the
~ above Statement of Claim and Notice of Lien and he ackno~vledged
~ before me that he executed the same for the uses and purposes
~ set forth therein in his capacity as Public Defender of the
~ Nineiceenth Judicial Circuit of Florida.
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- Witness my hand and official seal this 27thday of
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~ , 19 7 6 , ~ ~
y _ Mav .
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~ No a y Public ' ;
c ilC~~y~? AT ~l~~i~ Q. ,
~ NOT/1R1f i1~??C STATE OF 1~ ,
~ ~ p~ SEP'Y. 2f.
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~ E'r ~ 25~ FA~E .
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