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STAT$ OF FIARZaA «a:.~:? aQ,t'~E~as
CIERK CtRCU1T COURT
COt1NTY Ol~ ST I.UCIE
~OT=C8 i~ hereby given that purauant to the provisiona of
C'hapter 65-2181, I.aws o! l~lorlda, ~?cta o! 1965, the Soard o! Covnty
Conomfeaioners of St. Luci~ County. Blorida, claima a lien in the
anwunt of _ F~r Hundred Six and 90/100
406.90 ~~1~~ ~gafnat any real or peroonal property or
intere~t therein preae~atly held or atter acquirecl by
~tame of
Henry Stewart p~ 429 No. 9th St., Ft. Pierce, Florida
indigent or racipie~t) ~Addrees) ~
for uwney directly epent by St. Lucie County for the care, l~ospital-
f~ation, sustenance or aaaintenance ot oaiS indiqent or recipfent ~
f
ot Mel~ase assiotanca, as follaWa:
~oepital: Fort Pierce Memorial
Date l~cfiaitted: 7/8/68
aat. af.~n~,sa: ~/1e~6s
Diumber of Days: 10 at ~ 40.69 per day 406.90
i
f Leea creclite None
f Amount of Lien ~ 406.90
D~ATBD at Fort Pierce, Florida, this ~~ay of ~tober ~
1 .
.
(Si atwce)
County Attorney
(Title)
F
b'1qt~f1 to ~ ~ubscribed betor~ m~ ;
~
tbi~~--~y of , 19~
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~
' Stal,~ o! !]~arida Luq~
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Y~NT • WAS rllErARED g~~ 1?4 1Q~.
Rl11.PH S. WILSON. ST. WGIE COUNtf -
COUttTHOUSE FT. PIERGE. FLORIDA