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~{~`ESCiE COUNT~ I~~
1lOCER PO~TR~1i
\O`:ICy OF LIEN Ol[RK CIRGUIT C011~1 ~
R[CORD YEN~F~l~~
~ It 12 y~ PN'13
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CuL`: iY O•.•' S':. LUCIE 24SSC~~ ~
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tiCTIC~ is ~ereby qiven that Fursuant to the provisions of t
C::a~tcr u5-2~31, Laws of Florida, Acts of 1965, the Board of County j
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C~::1:issio:~crs of S~. Li:cie County, Florida, claims a lien in the t
t
Two Hundred Eighty-two and 85/100 ~
ar.tou:it o~ ,
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282.85 ) Dollars against any real or personal property or '
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interest t::erein presently held or after acquired by ~
(Name of '
Mattie O'Bryant of 1203 N. 29th ~t., Ft. Pierce, Florida ~
Indi7ent or Recipient} (Addres~ ~
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~or :r~o:~ey directly spent by St. Lucie County for the care, hospital- ~
izatio:~, sustenance or ~r,aintenance of Jacqueline Russ ~ ~
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minor daughter of said Mattie O'Bryant ~
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as iollows: °
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Hosoital• Fort Pierce Memorial ~
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D~ te Admi tted : 6~22~~ 2 - ~
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~ 6 ~2'7/72 :
~ Date Disc:~targed : i
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~ tiLr;:ber of Days : 5 at $ 56. 57 per day = $ 282.85 ;
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: Less Credits None ;
~ Amount of Lien $ 282•85 r
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~ Dateo at rort Pierce, Florida, this day of January , ~
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~ lg 73.
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~ (S' nature)
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~ County Attorney
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~ (Title) ~
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RALPH t':;__ . . --".~~Y ' ! "
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