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~ . - " .1 95~~ f ~~EO AND RECORO~LA:
'r~' 5T.RUCOR~ ~~RIFtED
159599
~ca or Lss~ '6Z At~~ 29 PM t: 0
~:t~::G~ ~'Ot~R:.S
O~ ~R~ ~~ERK ClRCU1T COURT
STA'1'1'E
~y pi~ ST LqC=E - isioaas o!
ivan that purauant to ~ the pro~v
gp~Cg is beseby 9 p! C
a
u
n ti
Y
61 Lan?~ ot F l
o
r i
a a, A~ t
s ot 196 5. t~ ~
O~
~aptsr 65 Zl • a lie~a in the
alorida. ~laims
~iesioae=s o~ st• Lucis Co~~~ ~d 65/100
q+~ree gundred ~?enty'One
~m~aunt o! . . -
~ sinst aay reai os pe=aonal t~coP~Y~ or
321.65 Doll~ac ~J
st tt?eYein pYOSently held or aftes aoquirad b~Y
itstess
214 l~o. 8th St.. Ft. Pie~ F a'•
- Ma~ Y,esene (ARld~cess)
in8igo?nt or reciP~ent~
St. Lucie County for the care. bo°Pital-
~or mans'Y directlY sPent ~t - ~ f~nt
Qr maintenance o~ said indiqent-or rsc p
iaa?tion, s~,
ot ~r~elfase assist~nce. ae fo~law~+= .
~~pi~l; Fort Pierce Me~aorial
- 6li/6~
Da,t,e, ,ABia~itr~eat:
6/1816?
' Date disch~?~3e~: ~ ~ 551.65
17 at $
3,~ p°r dsY :
, g~1~er of DaYs s~--=- 230.00
yesa aradits
~
' 321.65
Am,ount ot Lien -
asy of Au~st ,
at Fort Pfer'~8• FL°rida`. this ~
D~?TSD
1967•
,
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(g gnature~ . . . ;
county Attq~~Y * ~ ~ ~
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Title) f- . . f
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~ ° - ' .,e,;:: ' `i
t}~ _ ~ ~ `'I f`'-~': ±:.;''i ' ~ 's
. ~ . . ~~~,ys~r=- 1` `
g~i tA and s~bscribed before ~ ~ . , ; :
51~1~ f . ~ '
.
~ • f
19~• ~ ;~:.:r-=~~ . -
this_~dsy o! ' ~;i-~r;'. . • , _
~ ida at Ls~e9e ~
got~ . ~ ~ State f
tio:ary DU~u, S:ate of Fiar~da at Larse
~ • f ~2 ww~ ~~S = M r iui~n _•n;.rc lnl.i~~ 19T0
f~af[`~~iiws~ ir q~u• f.. l Gw~trr to~ I~ ~D
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