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FILED AND RECOROEO
ST.RECORD VERIFIED~~
~ca or~ Lim~ i68 At~t;l~~~3~ ~
S~l1lTE O! tLOR~ ~;C R~ OiT RaS
CLERK CIRCUIT COURT
00~1'1'Y 01~ 8T LOCIE
~ 1~OTtCE is h~saby givan that pwc~uant to t~s ~o~vi~ioas of
~hapt~s 65-2181. Laws of Florida, Acta ot 196s, tho Hoard o! County
~o~aissicaar~ of St. Lucio Covmty. Fl,orida, clai~as a li~ iu t~s
asount o! Four Hundred Thi=ty-five and no/100
4~35~;0_,,, ~ Dollar~ againot any real or personal pacopsrty or
int~rest th~ceia pr~Nntly hel~d or after aequired by
~ of •
1Koses Ricks of 612 North 9t1~ St., Fort Pierce, Florida
iudig~t or s~cipi~nt) (2?dds'es~) .
~or woney directly spsnt by St. Lucie County for the car~, hospital-
isation. sustenance or maintet~ance o! said indiqant or recipient
ot Maltare aasiataACe, as fol~:
S~~pital: Shands Teaching Hospital
D,t~ l~dmittad: 1/11/68
- - Date 8ischarqec~: 2/10/68
; ~iu~ni~r of Days: 12 ~t ~ 46.25 `~r day 555.00
~ 120.00 (Ins.)
~ Lesa creclita
~ Amount of Lien $ 435.00
~ Auguat
, D~11?Sa st Fort pierce, Flrorida, ttiis dsy of ,
19._,S~$,. .
. , •
t 9Ru~)
County Attorney
(Titl~ - ~
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SN~~t to aa8 ~ub~csib~d b~tors os ~ ~
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t~i~ °1 day o! 19_~ ~ . _ { , , Y . ~ _
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~ ~t~t~ o tLorida at Larg~
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~ cao~r:~.s3?ai~;'axpir..: ~0 9'
TM~~ ~Ni~RUME~IT WAS PitEpAREO 9Y
- - ~ . ~ RALPN 6. WtLB ~ ~~~R~ FLORIDA
" . . ~ " : ~1~ rAi~ couaTNa,+K.
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