HomeMy WebLinkAbout1748 10?25~5 ~
.
!
t II t~iStUlt u~ ~l~ltltf ~n1IL'f t_ rlirtE ~1~~1It~ lvrid~ ~
~ ~ ~ C~. ~ , ~ n, ~ ~
?
Rec Fce ! ~ DaUCLAB DQON ~
Add ree 3 St Lucie Cohnty
Doc Ta~ ; Cierk~Circuit Cauct
Jnt 1'..~.. gy
/ ~ Deputy Clsrk ~
Total S _..G~ #
AFFIDAVIT OF NON-PAYMENT ~
~
1022525 =
~
,
'90 JAN 31 A11 :41
STATE OF FLORIDA SS d~ Case No. 89-288-SP-06
CO UNTY OF SAINT L UCIE
F tl~ ~ u: J~~ ,
.ti !v:, ~
~)OUGI a ; C~iXQN ~
Sl. LUC~~ ~;~UNi Y .
The undersigned, being first duly sworn, deposes and says as follows :
(Plaintiff) 89-2gg-Sp-06
1. That (~he is (A~~~x~i~p~#) in Case No.
(~~~Yx~tx~~k~f f ~
in the Civil Division of County Court of Saint Lucie County, Florida, wherein
_ Ronald S. Grober M.D.
is (a~) Plaintiff(~ and Vassie Osteen
is Defendant .
i 2. That said Defendant has (~3 failed to make payment of money due said Plaintiff
! in the manner provided in the Stipulation hereinbefore filed in this cause.
3. That of the money stated in said Stipulation to be due said Plaintiff (p) from said Defend-
ant(P) $
~ 4 6 7. 3 0 damages plus $ ~ costs are now past due
! and wholly unpaid.
~ And further the undersigned saith not.
7
~
i ~
F ~
~ Ronal S.Grober M.D.
~
, -
~ $~?~bs~i~~a~d anc~, ~vvorn to
~ ' ~
~ :.l~efor~•~ne this 29th
~ _
j : iday of Ja~~~Y c.,~
j i ~
, _i .7 :-Notgry p;;~.~~c F-,
~1~~ Co , S te of Florida at Lar e
lF mr.r;..~,~ ~X:,r•cs: Oc;o 9
v f ~ 5cr 16, T992
, .:,,;i,,,~+~~`Bar ar . ~jtl.1RETY CORP.
_ Notary Public
, . I 'y' ' .
E
€
~
s
FORM SCC 135-H 80QK ~~5 eA~E17~
"s
r
. . . - ~ - tr - ~.z r~ ~ t-~,
~ i~..R~ ..a:~~~sr ~?~~c~~". ~
.`z...~?.~vc~~.~."~`m+_~'~~,,:,.~.' ~v