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~ FIlEO ANO R~N~'Y ft.A.
8T. lUC1E CDU
NOTIC$ OF LIBN RECORD VERIFI~O
lssozs •
STATS OF FIARIDA ~T cl~~ ~ q ~ 8~ ~ 3
COUNTY OF ST. LUCI~ RO~~n i'OITR~S
CLERK CIRCUIT COURT~
_ NOTICB is hereby given that pureuant to the provieions ot
Chapter 65-2181, Laws of Florida, Acts of 1965, tha 8oard of County ~
Caamisaionere of St. Lucie County, Florida, claime a lien in the
~ amount of Five 8undred $iqhty-four and 10/100 _
,
584.10 ) Dollars againat any real or pereonal property or
;
P interest therein presently held or after ac~uired by
(Name of
, Annie ~iriqht qf 1404 Avenue D, Ft. Pierce, Fla.
i~
'Indigent or Recipient (2lddresa
~
~
~ for money directly spent by St. Lucie County for the care, hoepital-
,
~ ization, sustenance o; maintenance of Lisa Cunninqham .
~i
~ minor daughter of said ~ie t+Triqht - ~
. -
~ (Relationship)
as follaws:
Hospital~ Fort Pierce Memorial
Date Admitted: 11/22/66
Date Discharged : 12/10,~66
1 Number of Days:_ at $ 32.45 per day = ~ 584.10
;
Lesa Credits None
584.10
_ Amount of Lien $
- ~
Dated at Fort Pierce, Florida, thia day of Ju1=.
. 19 6~ . -
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(S gnature)
~ County Attornep ~ ,
(Title) . ;
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SWiORN to and subscribed before me ~
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