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F~I.~O ANO RE~pRD Ol
ST.REUCIE CO RN
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NOTIC$ OF I~IEN ,~~~~G~a~ ~ ~
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STAT$ OF FLORIDA ~68 N~II Z` PM Z: 3S
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~ COUNTY OF ST. LUCIB . aOa~RAS
CLERK CIRCUIT COUR~,'
~ NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, I,awa of Florida, Acts of 1965, the Board of County
Comtnissioners of St. Lucie County, Florida, claims a lien in the
amount of Six Hundred Twenty-nine and 28/100
629•28 ) Dollars againat any real or personal property or
i::}erest therein presently held or after acquired by
~ (Name of
James E. Stevens, Sr. pf 607 No. 20th St., Ft. ~ierce, FZorida
Indigent or Recipient (Address
for money directly spent by St. Lucie County for the care, hoapital-
ization, sustenance or maintenance of James Edward Stevens, Jr. ~
minor son of said James E. Stevens, Sr.
(Relationship) ~
as follows:
Hospital: Shands Teaching
Date Admitted; 9/5/68
Date Discharged= 10/12/68 ~
Number of Dayss___12 at $ 52.44 per day = $ 629.28
Less Credits None
Amount of Lien $ 629.28
Dated at Fort Pierce, Florida, thie ts~ day of November~
19 68 . ~
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( ignature) f
County Attorney
(Title)
SWORN to anc3 subs~ribed before me ' .
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thi day of , ~9~J. .
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~I~fo. ~ p..ab'Zic State of Florida arge s~~~
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E ' . ' -•'THIa INSTRUMENT WAS PREPAREb BY ~ ~ ~ ~
; '~RALPFI B. WIWON. ST. LUCIE COUNTY ~OO~ ~
~ COURTH45,1SE. F'1'. PIERC~ FLARIDA
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