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-~~5~~~ FILEO ANO RECqROEO t
~ ST. I.UCiE COUN7Y. FIA. ~
NOTiC$ OF LiBN aECORp VERIFIEO . ~
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STAT~ OF FLORIDA • *6T MAY I PN Z: yB
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COUNTY OF ST. LUCIB RO~ER i'OITRAS
CLERK CIRCUIT COURT
NOTICS is hereby given that purauant to the provisions of
Chapter 65-2181, Lawe of Flurida, Acts of 1965, the Board of County ;
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Caamissioners of St. Lucie County, Florida, claims a lien in the '
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amount of One T'housand Five Hundred ~enty-five and 15/100 (
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1,525.15 j Dollars against any real or personal property or +
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interest therein presently held or after acguired by r
' (Name of
$louise Crutchfield of 1301 No. 31st St., Ft. Pierce, Fla.
~ Indigent or Recipient (Address
for money directly epent by St..Lucfe County for the care, hospital- ~
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ization, sustenance or maintenance of Denise Crutchffeld , ~
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minor dauqhter of said $louise C rutchfield
(Re~.ationship)
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as follaws: .
~ Hospitals Fort Pierce Memorial
Date Admitted: 10/23y66 12/15/66 .
Date Discharqed=11/4/66 1/9/67
~ Number of Dayss 47 at $ 32.45 per day = $ 1,525.15
' Leas Credits None
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~ Amount of Lien $ 1,525.15
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Dated at Fort Pierce, Florida, this lst day of May ,
19_,SsZ,.
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-``G%....C~~c~~''',,, ' (S gnature)
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- ~ o~ , : - County. Attornayt u,~ ; • -
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S~'R a~id subscribeci before me ~ , - - . , _ r ~
: ~~~~n,r•,,... I - , : - ~
this ~ day of ~ • ~9~. ~ _ .
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Notary Pu lic State of Florida at Larqe . ;
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My Comnnissfon Expires ~ IS~~
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- a~ 166 ~ 43~.
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