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NOTICE OF LI£N aEtCAt~ Vi~~~~f0~
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STA9`E OF FLORIDA 21l_~.~~ '
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COUNTY OF ST. LUCIE '
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rOTICE is hereby given that pursuant to ~he provisions of =
F
,
Chapter b5-2183, Laws of Florida, Acts of 1965, the 8oard of County ~
Commissioners of St. Lucie County, Florida, claims a lien in the :
amount of One Hundred Seventy and 43/100
170.43 ) DolTara-aqainst any real or personal property or ~
;
:nterest therein presently held or after ac~quired by
(Name of
Eul Wise of 12Q6 N. 17th St. , Ft. Pierce, Florida
Indigent or Recipient) (AddressJ
for money directly spent by St. Lucie County-for the care, hospital- _
ization, sustenance or maintenance of Sammie Gardner
minor son of said Eula Wise
(Relationship) '
as follaws:
_ _ _
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- - _ _ - - - _
Hospital: Fort Pierce Memorial
Date Admit~ed: 3/17/71
Date Discharged: 3/20/71
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Ivumber of Days: 3 at $ 56.81 per day = $ 170.43
~ Less Credits None_
Amount af Lien ~ $ 170.43
Dated at Fort Pierce, Florida, this ,2 ~ day of June ,
19 ~I . -
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(Si nature)•
Co~nty_Attorney
(Title~" ~
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SWORN to and subscribed before me ~
ky
J
this 9ay of , ~9 7/ . '
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`otary Public State of Floris~a at rge ~
:~:y Co:.~mission Expires : ol~ ~9 , , - -
TH:s INSrRUMENT tVAS PRE~AREO CY ' ~ • . .
RALPFi B WILSOt~. ST LUCtE ~,~U`~TY R~~ ~I~~~~ ~
C::URTNOUSE, FT. PIEF2C~. FLOR~DA d~ ~~,~,.y.~~
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