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FILEO AND RECOROEO '
~ NOTIC$ OF LIfi~T ST. WC1~ COUNTY f~LA.
RECARp VERIFt~O
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STATE OF FLORIDA ' ~ ~t A(J~ : yq
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COUNTY OF ST. LUCIS - _ FiOi,ER F011"RAS
~ CLERK CIRCUIT COURT
NOTICB is hereby given that pursuant to the provfeions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Hoard of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of ~e ~ndred Sixty-two and ~5/100
162.25 ) Dol~lara against any real or personal property or
interest therein presently held or after acguired by
(Name of
Sherman Stevens of 1908 Avenue Q, Ft. Pierce, Fla.
Indigent or Recipient ~ (Address
for money directly spent by St. Lucie County for the care, hospital- ;
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ization, sustenance or maintenance of Cleveland stevena , ~
4
minor son Sherman Stevens ~
of said
(Relationship)
as follows:
8ospital: Fort Pierce Memorial
Date Admitted: 5/11/67
Date Discharged: 5/16/67
5 a 32.45 er da = 162.25 ~
Number of Dayss t$ p y $ ~
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' None
~ Less Credits
~ ~ $ 162.25
Amount of Lien
R . ZK _
Au ust ;
Dated at Fort Pierce, Florida, this 7~ day of 9 ,
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19 67 , j
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( ignature) f
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County Attorney _ • ~
(Title~ " ~ `
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SWORN to and subscribed before me ;`;~-i, ,
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th i s 7--~ day o f 9~. ~
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Nota~;;DdbNic Sta:te of Flor a at Large t
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My ~=Cotpm~s~-i~n .~:xpires : ~ l ~ ~
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~~K167 P,~~855 ;
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