HomeMy WebLinkAbout0054 232866
~~~ER ;
~;~RII CIRCUtT~O~ '
::GT2CE OF LIEN i1ECOR0 YERIf1ED..,~..~.~ ~
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couti~:~~ or sT. :.uczL 232866
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~OT?CE is hereby given that pursuant to the provisions of
Chapter u5-2181, Laws of Florida, Acts of 1965, the Board of County
Cor.~missioners of St. Luc'ie County, Florida, claims a lien in tbe
amount o~ Three Hundred Ninety-five and 99/100 _
395.99 ) Dollars a~ainst any real or personal property or
interest therein presently held or after acquired by
(Name o f
Sarah Peterson of 1501 Edgewood Ter., Fort Pierce, Fla.
Indigent or Recipientj (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Michael Brown .
minor son of said Sarah Peterson ~
(RelatiQnship)
as follcws:
Hosoital: Fort Pierce Memorial
i
Date Admitted: 3/16/72 -
;
; Date Discharged: 3/23/72 !
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~ Number of Days: 7 at.$ 56.57 per day = $ 395.99 ±
;
Less Credits None
f
i
~ Amount of Lien $ 395.99
~ated at Fort Pierce, Florida, this ~ day of July , ;
19 72 .
.
(S gnature)
County Attorney
(Title)
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~ S;~~OR~ to and subscribed before rne
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;;ctar~ l~t:blic State of F1 ida at rge ~
IIOTARI N~tIC. STATE 9F F10RIDA 11T tJUtSE - . t
YY COMI?IISSION EXPIRE$ JAN. 21, 1974
:;y Co:::::ission Expires: TM~ fRED N. e1E5TEU1ottSSi - _ ;
- ;
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THt3 INSTRUMF~T V/AS PREPARED BY ~ -
RALPH B. WlLS_~~J. ST. LUU~ GOUNTY '
~ COURTHOUSc. FT. PIERGE, FLORIDA o0 K~O~ ~ j
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