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19a31~J F~IED {~N.p .R~C..~Rp,Ep
19309~ ' ss. lUcre Co nu:Y. FIA.
NOTICE OF LIEN ~d~~V~~~ ~~n
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'70 MJ1Y 7 AM Ip : 7 '
STATE OF FLORIDA ~
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COUNTY OF ST. LUCIE ~ E'~ ~'Q ~T~~S ~
CLERK CfRCUIT~COURT
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of One Hundred ~welve and 96/100
112.96 ) Dollars~against any real or persor.al property or
interest therein presently held or after acquired by
(Name of
Maurine Haugabook of 908 No. 23rd St., Ft. Pierce, Fla.
Indigent or Recipient) (Address).
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Michael Haugabook ~
minor son of said Maurine HaugabOok
(Relationship)
as follaws: E
Hospital: Fort Pierce Memorial
Date Admitted: 2/18/70
' Date Discharged: 2/21/70
~
~ Number of Days: 3 at $ 44.32 per day = ~ 132.96
~ Less Credits 20.00
s
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t Amount of Lien $ 112.96
~
F Dated at Fort Pierce, Florida, this ~ day of ~y , ;
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~ SWORN to and subscribed before me FiLEO AND RECOROED~
~ ST. LUCIE COUNTY. ~LA. .
~ . R~:COitC VERiF1~0
~ this ~ day of ,~9 . 193195
~ '?0 MAY I I AMI : Z
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s: Notary Public State of Flo da at Large , ~;p,Ea ~~tTRAS
~ CIERK ClRCU1T COUR7 -
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~ :iy Commission Expires: ~-a/ 7h~ • • ;
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~ Tlllf INl7'RUM[NT 1!I?AS PREPARED BY _ - q„~~. ' .
RALPH B. WILSON. $T. WCIE COUNTY ~ • ~ ~ ~O~~Q~ P~~~~~
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t GOURTHOU6E. FT, p1ERCE. FL.pQ~D
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