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2 it~EO ~MC RECOAOEO ~
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:~OTICE OF LIEh` C~ERK C~:~~U~1 COU~T
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S'PATF. OF FLORIDA '
21iis~
COWTY OF ST. LUCI~:
~OTICE is hereb~ given that pursuant to the provisions of
~
Cnapter G5-2181, Laws of Florida, Acts of 1965, the Board of County
_ ~
Commissioners of St. Lucie County, Florida, claims a lien in the
ar~ount o: Eleven Hundred Sixty-seven and 54/100
l1b7.54' ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Patsy Brown of 2904 Avenue F, Fort Pierce, Florida
Indigent or Recipient) (Address) ~
for money directly spent by St. Lucie County for thz care, hospital-
ization, sustenance or maintenance of Andre Eugene Brown ,
minor son of said Patsy Brown
(Relationship)
as follaws:
Hospital: Fort Pierce Memorial
Date Admitted: 12/27/70
Date Discharged: Z~18/71
Number of Days: 22 at $S3•d~ per day = $ 1167.54
Less Credits None
i
Amount of Lien , $ 1167.54
Dated at Fort Pier.^e, Florida, this day of June
I •
19 71 .
.
( ignature)
County Attorney
(Title)
~ SA'OR~' to and subscribed befare me
this day of , ~9„~. _
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:lotary Pu51ic State~o Florida t Large ~ .
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:~'.y Cor:.mission Expires: =
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T111t lNSTPUMFNT Y:AS PREPARE BV . - n~'~~'
RAIPH B WIL.SON ST LI;C~c C^:;:'vTY '
- GOURTNOUbE. FT. PIERGE, FLORtDA a~R
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