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NOTICE OF LIEN RECORD VFR~F~EO.~.~ -
Jw. l 9 io AN'tZ
STATB OF FLORIDA
- 2328~8 .
COUNTY OF ST. LUCIE ~
NOTICE is hereby given that.pursuant to the provisions of '
ChapCer 65-2181, Laws of~•Florida, Acts of 1965, the Board of County
Commi,ssioners of St. Lucie County, Florida, claims a lien in the
amount of Twenty Five Hundred Forty-five and 65/100
2,545.65 ) Dollars against any real or personal property or
interest therefn presently held or after acquired by
(Name of
- Jean Pierce of 444 N. 16th St., Fort Pierce, Florida
Indigent or Recipient) (Address~-
for money directly apent by St. Lueie County for the care, hospital-
ization, suatenance or maintenance of Ann Marie Wilson ~
minor daughter of said Jean Pierce
(Relationship)
as follows:
Hospita2; Fort Pierce Memorial
Date Admitted: 2/12/~2
Date Discharqeds 3~2g~~2 ~
Number of Dayss 45 at ~ 56.57 per day = $ 2,545.65
Less Credits None
Amount of Lien ~ 2.545.65
Dated at Fort PieXce, •Florida, thie day of July ,
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' County pttorney
~ (Title)
SWORN to a~d subscribed before me
this ' ~ day of , ~.9~a. .:ti:: -
. ~ f ~~~iw/%~./ M 'Y . ' . ~
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Notary public State of Florid at Large J
lIOT~RT ?UiIIC, S1ATE OF fL01tiDA lIT lAR6E
MY COl.1hilSSiON EXPIRES JAN. 21, 1974
My COfRRl18810I1 Expires eoc~cm r++eu Fa~c w. DIEStElHORST - t.
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T++~a 11~$TP.UMF*~T WA4 PREPAREO BY On~~o~ ~ ~ • 1~_ „
RALPH ~e W1L~'7C~. ST. LUG1~ COUNTY py ,
coua-rHOJsE Fr PIERCE. FLORIDA ~
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