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15C~~~ ~ FILED AND RECOROED
, $T, LUCIE COUNTY. FlA•
NOTIC$ OF LIEN . RECORQ VEr~IF1ED .
. ~ 159~~ .
STATF FIARIDA ~ ~SZ A!!C 29 PM ~s .
COUNTY OF ST. LUCIE }{~v~ t? i U~TRNS -
- . CLERK CIRCUI7 COURT ~
NOTIC$ ia hereby given that purauant to the provisions of
Chapter 65-2181. Lawe of Florida, Acta of 1965, the Hoard of County
Commissioners of St. Lucie County. Florida, claima a lien fn the
amount of T~?~ 8undred Eighty-nine and 50/100
289.50 ) Dollars aqainet any real or personal property or
interest therein presently held or after acquired by
(Name of
Lorine Cooper- ' of 508 N. 23rd St., Fz. Pierce, Fla.
Indigent or Reeipient (Addrese ~
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for money directly apent by .St. Lucie County for• the care, hospital- ~
. ~
ization, suatenance or maintenance of 1~iillfam Cooper ~ ~
~ , ~
minor son ~ of said Lorine Cooper ~
(Relationship) _ ~ '
as follaws:
Hospitals Fort Pierce Niemorfal
Date Admitted: 6/20/67
Date Dischargeds 6/30/67 -
~ Number of Dayss 10 at $ 32.45 per day = $ 324.50
~ . Less Credits 35.00 ~
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Araount of Lien ~ 289.50
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. Dated at Fort Pierce, Florida, t21is 29 day of August ~ ~
19 67 . ~
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~ (S gnature)
` County Attorney
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SWORN to and subscribed before me -_F'~ +
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