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FIlEO AND RECORDEO
ST, L.UCIE COUNTY. FI.A.
- NOTIC$ OF LIffi~1 . ItECORD V~RIFIED •
• ~~~0
STAT$ OF FIARIDA ~6e ~~T Z ~ ~ ~ : 3q ~
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' COUNTY OF ST. LUC28 . R~~~R 'OITRAS
CIERK CIRCUIT COURT
' NOTIC$ is hereby given that pursuant to the provieions of
Chapter 65-21~1, I.aws of Florida, Acts of 1965, the Board of County
Commiseioners of St. Lucie County, Florida, claims a lien in the
amount of ~e Hundred Sixty-two and 76/100
162.76 ) Dollars against any real or personal property or
interest therein presently held or after ac~uired by
~ (Name of .
Lunnie Jane Music pf 1611 Valencia Ave., Ft. Pierce,
Indiqent or Recipient (Address F ori a
for money directly spent by St. Lucie County for the care, hospital-
,
ization, austenance or maintenanc4 of Thomas Music ,
minor son of said Lunnie Jane Music t
(Relationship) ~
as follaws: - '
,
Hospital: Fort Pierce Memorial
Date Admitted: 5/26/68
Date Dischargeds 5/30/68 ~ .
Number of Dayss at $ 40.69 per day = $ 162.76
f ~ Less Credits None
~ ~
Amount of Lien $ 162.76
Dated at Fort Pierce, Florida, this 0~ day of October,
19 68 . ~ .
.
. .
(S gnature)
~County Attorney
(Title)
SWORN .to and,~s~ubscribed before me
-Q ~ 4-'~_ 6~'
this,: ~'~~G~."`T~ ~y ,~f ~ , ~9 .
' . . ~ '4s' +w~-. .
~ ' ~
• _ _I• ~ ' •l,•`= . t ~ ~
N~t~r~ ~u]~ c; S~.tat.e' of Florida at rge
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. , . . . .~o ~g~ f - - -
My`.~om~miJ~sion~;Expires s
, i .
TNI! INfTRUMENT WAS MEPARED sY ~ R 1~4 PAL'E ~Q~
~/?LpH 0, VyILSON. ST. LUCIE COUN7Y
Cp~IRTHOUSE F1'? Pl6RGE FLORIOI? BOOK - y~ -
.