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1'S4~~ FIlEO ANf3 RECORDEO: aT. l.UCIE COUNTY. FLq,~> RECORO YERIFtEO ~IOTZCE Ol~ I.I~T 1~~~ ~ '6t MAR 30 AM 10: 08 STATE O~ FIARIDA i~o~tis~~ ' RO~~R POITRdS GOL'N:'Y OF ST tL~CIB CLERK CIRCUIT COURT ~TOTIC~ i~ :~~~eby given that pure•sant to ths pacavisiau o! ~hapter 65-21e1. L~?•~e of l~lorida, Acte of 1965, the Hoard o! County Comniesio~era of St. Luci~ Countp; Florida, claima a lien in l2~~ amount o! Five Hundred T+slve and 40/100 . t$ 512.40 ) Dollars again~t at~y r~al or p~raonal pacoperty or intsre~t tberein prese~atly held or atter aoqufred by p~aww of aladys Simmons o! 1821 l~o. Federal 8iqhvay, Ft. Pierce, indigent or recipfent) (Address) a for mo~e~? directl, spemt by St. Lucie Co!~nty for the care, hoepital- i~atifl~, suste:,~.-~~e or maintenance of aaid indiqent or recipient of v~elfare assistance, as follo~s: ~ - Shands Teaching Hoepftal, H~ospital:_c3a_ine_ sv_ille, Florida Dat~e ~+c3mitted: 9/1/66 Date aischsr9aa: 10/~g/66 (County paid for 12 days only) . l~ober ot Daya: 1_,? at $ 42.70 p~r day 512.40 ' La~s credits None ~ ~ ~ 512.40 € Amovnt of Lfen $ ~ [ ~ D~ATBD at Fort Pierce, Florida, this ~ dsy of ~rch , 19 67 . ~ ~ ~ t ~ ~~~~~rJ~~ ~r.,~`'~;~. Chairman -~-~3 ~ y , z.~.s ~ '-r 'Nt~y~ . _ :~i~. (Title~ ~F~;:,;~- . . : y. _ _ ~ . . ` : . =:r4:.' 1 °x-~s " _ `>;.~,;ki~,r ` f~. - . , ..-,sr..?i StpR~i to ane ~ubscrib~d bstore as - . ` . - f " : ' 'r' ` ~.i:7~r!. y. ~ , ~ F ''"11 r< • thi~ ~~day o! , 19~ , : ~ ( . ~~s.~,~,"~ ~ 'w~~J' - '~~r~.. , fs- ;s ' i%'"' ' , _t'• . ~ 4 ' . ~ i - '.,.•1' ~ i 8, fi.at~ o! t rids at ~ ~ ' 4_' ~ j`~".~•' ~ PubGc, State of~Ro~' a at La~ge : J f,;~t ~ N~Y ~ _ . Coat~issi,» fx~rces !~r 8. 1970 ~5~~;~~.~1''oal~~ ~tt.. ce. =t~'.~ ;_'~3 f~~~ ~r ' yi" ; . _'ri :I~y~; ~ ;?~,V~.~ • _ ~ !v ~ V`~~~# ~ ~ ~ ` ' / ~~~r~"~~ 0 R - 165 ~~133~ • 600K ~ . ~k~w' a,'~'~~~~c~ - . - - - - ~~v~ - - ' i~;~4