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~ FILEO ~AND RECORDED! !
ST. LUCIE COUNTY. FLA "
~:OTICE OI' LI~N f?F~ORD VERI~IFD
2C00~~
sT~mE oF FLORIDA ~~0 OCT ~ 1: 16
COL~Tl' OF S'~'. LUCIE ROGER i'OITRAS
~ CLERK CIRCUIT COURT.:
~O`iICE is hereby given that pursuant to t:~e provisions of
Cnaoter b5-2181, Laws of Florida, Acts ot 1965, the Baard of Co~:nty
Con;~issioners of St. Lucie County, Florida, claims a lien in the -
i
amount o~ One Hundred Thirty-two and 96/100
132.96 ) Dollars against any real or personal property or
. : ~
interest therein presently held or after acquired by ~
(Name of
MaXgaret Jackson of 2904 Avenue E, Apt. A, Ft. Pierce,
Indigent or Recipient) (Address) Florida
for money directly spent by St. I.ucie County for the care, hospital-
ization, sustenance or maintenance of Mary Jackson
. ?
minor daughter of said Margaret Jackson ;
(Relationship)
as follows:
Hosoital• Fort Pierce Memorial
;
;
Date Admitted; 3/3~70
Date Discharged: 3/6/70
Number of Days: 3 at $ 44.32 per day = $ 132.96
~
E
' Less Credits None
i
~ Amount of Lien ~ 132.96
~
~ Dated at Fort Pierce, Florida, this o~~ day of October ,
~ 19 70 . ;
~ •
~ •
(S qnature)
County Attorney
~ ~ (Titlej ~
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THIs INlTRUMEIYT WAf PREPARED BY ~~W ~
RALPH B. WILSON. ST. LUCIE COUNTY O R
~ COURTHOUSE. FT. PIERCE. FLORIDA aOaK 7 PACE 49?
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