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sATJCSFACTION OP JUDGEMENT 47~~3
LAKEi.AliO OENERA4 NOS~~TAL ~ ~ - - .
0. Rox y48 .
Lskwlaad, Florida 336 ~ Case No. T9 Sf13-1259
- Plaintiff Claiwa
_ In ~ Court
vs
. kl k. County
YIRiiINIR D. lIARTIN STAT$ OF FLORIDA
Defendant
IQ~TOaT ALL MBN BY THESE PR$SENTS
That ws _
- (I, we -
the plaintiff in the above styled cause, therein a judgement-was -
rendered on the 8th day - of llu9dst A. D. 19 7a in the above
court for Two htMdrod aed taa drsllars and fort~t Atha eat; =dollars
and costs, against Yir9lnla 0. Il~rtin ~ the
defendant therein, said judgement being duly. recorded in the minutes -
of said Court and a copy thereof having been recorded in the
Official Rsoords Book number Z93 - page ~ , - of the
public records of Pbik ~ County, Florida, dQ hereby acknowledge
full payment and satisfaction thereof and hereby consent that the
same shall be satisfied of record.
IN WITNESS WHEREOF the-said corporation
has caused-these presents to be - _
- (SEAL) execsted in its name, and its corporate
seal to be hereto affixed, by its
proper officers there unto duly
i authorized, the day of.A.D. 19
-
LA HOSP _
i _
BY: Signed, sealed, and delivered in the
R. HAZARD - presence of
Patient~cc ants Manager
- :
- - ~
STATE of _ _ q 33'73 ~ ~t`0?.
COUNTY OF - a~
CST
C
~IfRi~ .
I hereh certif that oIZ this a ~ - ~~~~R;Ft~o~~~5~~--
y y d y, before me an officer duly
authorized in the State and County aforesaid to-take acknowledgments,
personally appeared R. Nasard ~ well known to me to be.
~ the Patient Accounts Manager of LAI~LANP GENERAL HOSPITAL, a
corporation and that trey severally acknowledged executing the same
in the presence of twa subscribing witnesses freely and voluntarily
under authority duly vested in thrum by sai3 corporation and that the
sea s®ced thereto is the true corporate seal of~said corporation.
"
~~8$ `~haid and official. seal in the County azY3 State last
ra~Q~Les.Yttiisl.: /6 day of A.D. 191 . -
os- ~ ' _ Notary Pub~c~ State Of florkla-At Lar e
s s ~"`t t1.: ~ ~ ~uNssbrl Expires Nov. 30, Iy~
~ % Y~',L { ~ v _ ~eMe If ~n~ lnw,,,~, Ca,
a.•4 2 tarl• lic State of Flor da
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