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2455'75
COU~i'1'1' O'r' S`I'. L'JCIE
\G`:IC~ is her~by qiven that pursuant to the provisions of
C::~~ter u5-2131, Laws of Florida, Acts of 1965, the Board of County
Co:T~ssio.ers of St. Lucie County, Florida, claims a lien in the
~i:ou~j~ oi Three Hundred Eighty-five and 42/100
385.42 ~ Dollars against any real or personal property or
~nteres~ tY:ereia presently held or after acquired by
(Name o f
Ida Mae Fields of 809 N. 31st St., Fort Pierce, Fla.
Incig~nt or Recipient) (Address)
~or .~,oney cirectly spent by St. Lucie County for the care, hospital-
izatioa, sustenance or maintenance of Darri Fields
.
minor son of said Ida Mae Fields -
~R~latiqnship}
as foliows: '
Hosaital- Fort Pierce Memorial >
Dat~ ldmitted: 9~1~~2 - '
i
~
~ Date Discharged: 9~8~72 $
E
~ 7 55.06 y _ $ 385.42 {
~;~;mber oi Lays : at $ per da
~
~ None i
Less Credits
i
f Amount of Lien $ 385.42 _
~ January
~ Da~e~ at Fort Pierce, Florida, this day of , -
~
~ i5 73
~ -
.
~ '
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r (S gnature) ~
~
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~ County Attorney
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~ (Title) '
;
S:•;0;:~~ ar.:i su:.,scribe~ be:ore me
t:.=: s ~ y oi ,~9~.
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„u~l,i~ ~ ~CG~ . . .
r~ _:c~:._ ~?;:b?.i^ S`~a`~e cf Florid at Large _
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~ TFfIS INSTRUMF-~tT 1F: "S F?~=AqcD CY A`,,•. i•''' .
RALPH B. WILSG^l. ST. L~~•";!~ GC:1\TY ~~t~~
GOURTHOUSE. FT. P+c.RG~. F?.CRiDA ~
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