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FIlEO AND RECOAOED
ST. LUCIE COUNTY. Ft,A.'
N~OTICS 0~' LIffiT R~CORD VERIFIEp
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COUNTY OF ST. LUCIS - CLERK CIRCUtT COURT
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: NOTZC$ is hereby given that pursuant to the provisfona of
; Chapter 65-2181, Lawo of Florida, Acts of 1965, the Board of County
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~ Coao~Aissioners of'St. Lucie County, Florida, claime a lien in tbe
~ TI~O ZSOIISAND ONB R8D S8Vffi~T'1'Y-FOUR and 15/100-
~ount of-
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2,174.15 ) Dollare againet any real or personal property.or
interest therein presently held or after ace~utired by
(Naa~e of
Jeseie Parker • of 916 No. 8th St., Ft. Pierce, Fla.
Indiqent or Recipient (Address '
for money directly spent by St. Lucie County for the care, hospital-
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ization, sustenance or maintenance of " Mai'1? Ann Parker ,
~ minor dauqhter of said'• Jeasie Pa=ker ~
~ (RelationBhip)
as follaws: . ~
( 8ospital: Fort Pierce Memcrial Hospital
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~ Date Admitted: 12/30/66
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- Date Discharged: 3~~67
Number of Dayss_ at 32.45 per day = ~ 2,174.15
Lesa Credits None
~ ~ . Amount of Lien $ 2,174.15
Dated at Fort Pierce, Florfda, this day of J~e ,
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SWORN to and subscribed before me r~'' r~~
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this a-- day of , ~ . . ~
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