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DrOTIC$ is bereby qivan that purauant to tha prpvision• of
Chaptor 65-Z181, Lawa of Florida, ~cts o! 1965, the Boesd ot Dounty {
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Coami~sioner~ ot St. Luci~ County, tlorida, elaims a lian in tbs ~
ea~ouat o!` $iqht Hundred Sleven and 30/100
(S~ 811.30 ) Dollare aqainst any real or personal property or
interest.tl~erein preaently held or after acqaired by
;
Frances Mae Pinkston og 1104 No. 22nd St., Ft.~~P
erce, Florida, ~
- fadiqent or recipient) (Ac~dre8s)
far money di.rectly epent by St. Lucie County for the care, l~ospital- ~
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isation, suetenance or uiainteaance of eaid indiqent or recipient ~
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of velfare aseiotance, as fallawe: ;
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. $
Haepital: Shanda Teaching Hospital, Gainesville. Florida j
Date Admitted: 6/28/67 7/18/67
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Date discharg~d: ~~5~67 8/23/67
DTumber of Days=~ at $ 42.70 per day 811.30
- Lese dcedite tTone
" Amount of Lian ~e ail/30 ~
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- D~TBD at Fort pierce, Florida, this ~ day of December ,
19
- ~Si ature~ •
County Attorne~- ~ t_ ~
(Title) ^ - _ .
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S1~ORf~ to and aubscribed before me - " .
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o~ , ~967 - ~T :Y~:~~~ ;
: - - " FfLEO dND RLCORDEfl~+~ ~ 's
' ST, LUCIE COUNTY.-Rl,I?. ~ ~
: ~ ~ RC_~~QD V~RIFiED !
' ~ ' 162~i8 ~ ?
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= ` :~dtar~ ~abli~ State o~ t ~,asg•
_ ` ~1ror~ a ~1 DEC I I Pi~ !2 : 37 !
11~, ~~~ta~on Expires: /~6 Q
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CIERK CIRCUIT COURT
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