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NOTICE OF LIEN RECORO VfRiF1E0....~,~ '
. M~ur 1 9 ~l ~!!'tt ~ '
STATE OF FLORIDA . ,
dGrl~rv~a~7
COUNTY OF ST. LUCIE
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 S t. Lucie County, Florida, c2aims a lien 'in the
amount of Nine 8undred Sixty-five and 77/100 .
965•~~ ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Lina Mae Burgess' oE 809 N. 23rd S~t., Fort Pierce, Florida
Indigent or_Recipient) (~aares~l
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of E1~izabeth.Burgess
.
minor daughtsr of said Elizabeth Burgess
(Relationship)
as follaws:
- Aospital: -Fort Pierce 1~Iemorial
Date Admitted: 1/30/72
• Date Discharged: 2/16/72 -
Number of Days: 17 at $ 56.81 per day $ 965.77
Less Credits None
Amount of Lien $ 965.77
~ Dated at Fort Pierce, Florida, this ~ day of May .
.
19 ~ 2 .
( ignature)
County Attorney
(Title)
~
.,~.SWORII _xo ~nd subscribed before me
.
,
-:.this ~ ~ ~ ~ day of ~ . ~9 ~y
~
- ~
i~#r~c State of Florida at rqe ~
- t. N• ' ~ IIOTIIRr MiBUG SiATE Oi ~lORIDA A1 I.AIl6E
~ A~IY COMMISSION EXPIRES JAN. 21, 1974 . '
My~ Commission Expires: s~~--. f~fo w. o'-
TFfff INRRUMENT WAS MtEpAREO ~
RALPH 6. WILSOtV. ST. LUCIE COUNTY
' GOiJRTHOt~16E. FZ PIERCE. FLORIDA
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