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FILE~ ANO RECOR~ED' '
ST.~
V~QRD VERTF EO`A:
19~~19 NOTICE OF LIEN
i
'TO APR 20 PM 2 : ~ ~
STATE OF FIARIDA 1:~~1~~~ ,
c:pGFR i'O~TRAS F
COUNTY OF ST. LUCIE CLERK CIftCU1T COURT ~
i
~?OTICE is hereby given that pursuant to the provisions of
;
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners ot St. Lucie County, Florida, claims a lien in the
amount of Six Hundred Sixty-four and 80/100 ~
664.80 ) Dollars~against any real or personal property or ~
- ~
interest therein presently held or after acguired by
(Name of i
Gloria Rolle pf 3110 Avenue D, Ft. Pierce, Fla. ~
Indigent or Recipient) (Addres~ ~
for money directly spent by St. Lucie County for the care, hospital- ~
, s
f
~ 1
ization, sustenance or maintenance of Lowanna Poitier ~
~
minor daughter of said Gloria Rolle '
,
(Relationship) ~
as follows: . j
~
Hospital: Fort Pierce Memorial
Date Admitted: 9/1/69
-
j Date Discharged: 9/16/69
Number of Days: 15 at $ 44.32 per day = $ 664.80
Less Credits None
Amount of Lien $ 664.80
Dated at Fort Pierce, Florida, this ~ day of April , ~
:
19 70 . .
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(Signature) ~,~x; .
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~ County Attorng~~~~ ' ~
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~ SwORN to and subscribed before me
~ th i s ~ d ay of ,~.9~. _
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~ Notary Public State of Florid at Large ~ -~.;,G•~
~ NOTIIR~ PUatIC. STATE ~ ROR!DA AT lAR6E •
~ 11Y COMMISSION EXPIRES JAN. 21. 1974 •:,y~'=+ '
i0N0ED THRU fRED W. DIESik1H~ZST I QiA'Q =
~ My Commission Expires: F~
~
~ •
~ THIS INSTRUMENT WAS PREPARED BY % ~ ~
? RALPH B. WILSON. ST. LUGE COUNTY
~ GOURTHOUSE. FT. PIERGE. FLORIDA O R F~C~~~~•~
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