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HomeMy WebLinkAbout0832 .L6S~~4 FILEO AND RECORDEO ~ - sT• IUCIE COUNTY. RI.q,~ . RECORD VERIFIEO' _ _ li0"1'ICE 0~' I+Z3~fi '6B AU~ 2 s • ~ i0 . Oy sss4 S'~IMI'E O! ~I+ORIDA ROGER e~p~TRAS ~I.ERK CIRCUIT COURT COt~iTY O! ST LUC=E 3~OTZCB ia b~uc~by give~ tbat pur~nant to th~ p~vf~ioas o! Chapt~r 6S-Z181, Lrws of Florida. 1~ats of 1965, t~s Hoard o! CAVnty Caaaissionsr~ of St. Luci~ ~ Caunty. ~'lorida, ~ elsimn a lien in th~ amo~unt of ~e Hundred Twenty-two and 07,~100 122.07 Doli~s~cs aqaisue aAy r~al or psrsonal PropsrtY or intoreat ther~i~a pac~seatly l~aLd or aft~c aoqufrea by o~ Ri~th Louise Elliott 515-B So.31st St., Fort Pierce, Florida of ~....._.._.._.~.e.........~...~... indiqsnt or r~cipient) t~~s~~ !or woney directly ap~nt by St. Lucie County for ths care, bospital- iaation. ~uatsasnae or maintanancs of ~aid indiqent or recfpiont o! ~lfare sssista~c~. a~ tollow~: HOOpital: Fort Pierce Memorial D~?t~ l~sitt~! = 6/4/68 ' Date dischsrg~d: 6/7/68 ~ ! ]~u~sr of Days: i3 at $ 40.69 p~r day 122.07 ~ ~ . ~ None ~ ' I~s• c~cedits ~ Amount of Lien ~ 122.07 . D~ATBD at Fort Pierce, Flori~a, thi• ~ d~y of August 19 68 . ' (Si stu=e) County Attorney ` (Title~-- ~ • " - • • ~ . . . ~ . ~ ~ . 8110R~ to aad aubacrib~ bsfore ms . , , : ~ thfo~~day o! ~ 19~~C~ , `'„j~. ~ . : ' . , r ' i . Q . 3fm..,$tat.~ o! ! ida at i.sec,~e l - 9 MY ~iss~•~'~~~~ _ ~ ~ RATM~ IMafRUMENT WAS PREPARED - _~~s . : o R 173 ~cF 824 P~~~ ~E ~a ~ „ . ; . ' ` . . f ~ 800K E. ~~,oR~oa _ , ~ _ . . _ . _ _ _ _ __R__ r_ - - _