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..ti. . _ . . f41.E-Q AND RECOR _
~ ~ ST. luC1E C(J U~1_TY~ R~.~ •
1~0'rIC$ O~' LIEN RECORO VERI'FIED .
_ 153905. 0
s~?~ oF ~o~nA '61 MAR ZQ PN 12. 1
ucLt~' ,
t~OUNTY OF ST. ~LUCIB ~;Q;~:~ ~•017R~S - .
- ~ CLERK CIRCUIT COURT
NOTZC$ ie hereby given that purenant to tbe provisione ot
Chapter 65-2181, Lawe ot Florida, ~cts of 1965, the eoard of County
. .
Coamaissfonera of ~St. Lucie County, Florida, claims a lien in the _ ~~t
~uaount of -Four Hundred ~renty-one and 85/100 ~ .
421.85 ) Dollars againet any real or peraonal property or
.
interest therein presently held~or after acquired by
~ ' (Name of
Mary Hailey : of 509-8 Dundas Ct., Fort Pierce, Fla. .
Indigent or Recipient ~?aarese ~
• :
for money directly apent by St. Lucie County for tKe-care, hoepital-
. , •
,
isation, suatenance or maintena~ce of Sueie Ann Bailey ~ ~
minor daughter of 8aid ~~'Y ~iley
(Relationshipj .
as follaws: ,
- Hoepital: Fort Pierce Memorial. 8ospital - ~
.
~ Date Adinitted: June 18,1966 .
Date Diecharqed: July 1, 1966 ~
~ Mumber of Daye: 1` at $ 32.45 per da = 421.85
Y $
~
, t . . Less Credits None ~ .
. ~
Amount of Lien $ 421.85 ~
~ ~ . t.
( Dated at Fort Pierce, Florida, thie ~ day of Ma=ch ~ ~
.r
- ~
19 67 . .
_
~ ' ~ ' . ' a '
- - " . (S ature)
Chairman
(Title)
~ SwORN to and eubecrfbed before me
~ ~ . _ . r
this day of _ , ~9~. .
` • - ~~~un,~~;~~;~F
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Notary Public State of Florida at Large ``J~`~;~h'~ u~,'`-~~
• . Itoi~ry Prii~,. StaM rf • F{~ii~ a!;'r~~} - ; ~ ~ " . ,
Ky Commfeeion Expires: ~Mr ~ ~hr i, ~ K - . 7
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