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STATE OF FLORIDA
COUNTY OF ST. LUCIE
On this day before me, the undersianed authority, personally
appeared IRMA L. WILLIAMS , who, after beina by me first duly sworn,
did denose and say:
1. That she has ~ersonal knowledae of all facts stated herein.
2. That the said IRMA L. WILLIAMS, whose Social Security Number
is 1f 20 -/-(of ~l has never resided at 1126 Avenue E., Ft.
Pierce, Florida; and is a different individual from the IR~t4 ~JILLIAt~IS
indentified in that certain Notice of Lien fror~ Fort Pierce Hos[~ital,
dated Se~tember 14, 1976 and filed in St. Lucie County in ~.P, Rook 257,
Page 1403 for~1,348.56 and that certain Notice of Lien from Fort Pierce
Hospital dated June 16, 1978 and filed in St. Lucie County in O.R. Sook 289,
Page 159 for ~1500.84, FILED IN THE PUBLIC RECORDS OF ST. LIICIE COUNTY.
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AND FURTHER AFFIANT SAYETN NOT. ~
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IRMA L. W LLI. S
Sworn to and sy~scribed before me
this day ~ of September , 1987
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r` ~ o y Pub i, ate F ori a
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: ~ Notary Pubtic, Stete af Florlda at Large
_ , " I~yi.~.Comni ss ion Exoi res : My Commtssion Expfres t+~ay 22, 1991
_ gonded thru ABQnYs Notary Brokerag~
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SEAL
1 '87 SEP 22 P 3~21
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DOUGLa~ ~;;t ~ - -
ST. LUCIE CC' ; ~ t-- .
BOOK 55~ P~~GE J~