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2455'78
f1~p AND itECOR~E~ ;
=T, 4UCIE COUNTY ~
1lOCEF FO~1RA5 i
::OTZCE Or LIEN CLERK C1-•CUIT COUI1t ;
~FCOan vEN:v~En ;
~ I~ IZ 44 PN'73
C~:'~~i:. 1.~~ i~.r..'J_\~.i~~~
~
coL~.~~ o~ Lucr~ 2455'78
• .
\0'~IC~ is hereby given that pursuant to the provisions of
C: a; ~~r u5-21"31, La~•~s of rlorida, Acts of 1965, the Board of County ~
Co::n;is,ior.~rs o~ St. Lucie Coun~y, Florida, claims a lien in the
Fifty-five and 06/100
ar.;ou:i ~ o ~
55.06 ) Do~lars against any real or personal property or
interest ~herein presently held or after acquired by
(Name of
Delmar & Lenore Pullen of 2908 Avenue R, Ft. Pierce, Fla.
Inci~ent or Recipienc) (Address)
for :~oney di~ectly spent by St. Lucie County for the care, hospital-
i:.ation, sustena~ce or maintenance of Terry T. Pullen
.
minor son of said Delmar & Lenore Pullen
iice? atiQns:~ip)
as ~oliows:
Hos~i~al• Fort Pierce Memorial
~a te Ad;r.i tted : 8,117/7 2 -
Da~e ~ischarged : 8~18 ~~2
f
; ~ur;~er of Days : 1 at $ 55.06 per day = $ ~ 55.06
~ .
F Less Credits None {
~ Amount of Lien $ 55.06 ~
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: '
~ Dated at Fort Pierce, Florida, this ~ day of January ~ i
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~ lg 73 -
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v. .
~ (Signature)
~ .
~ County Attorney
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` (Title)
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~:~:G:c~~: tc ar:,: su:~~cribed be~ore me
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,Y3 C0~1r'~THGuSE. FT. p;~r~C~,. FLO~iDA ~
~ 800K~+uv PACE~~
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