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` ~801 NOTZCE OF LIEN ~ ~
~ ~......1. `
.STATE OF FLORIDA ~ ~ ~ ~ ~ ~1~
COUNTY OF ST. LUCIE 299801,
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NOTICE is hereby giveri that pursuant to the provisions of _
Cnapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in tbe ~
~ Two Hundred Eighty-eight and 64/100 ~
~ amount o~
288.64 Dollars against any real or personal property or -
interest therein presently held or after ac~uired by
• (Name of
Mr, and Mrs. Larry Sims of 2311 S. 35th St., Ft. Pierce, Florida
Indigent or Recipient) (Address~
for money directly spent by St. I.ucie County for the care, hospital-
ization, sustenance or maintenance of Melisa Faye Sims ~ ,
minor daughter of said Mr. and l~irs. Larrv Sims
(RelatiQnship)
as foli~ws : .
Iiospital: Fort Pierce MemQrial
Date Admitted: 9/16/74
Date Discharged: 9/20/74 -
Number of Days: 4 at $ 72•16 per day = $ 288.64
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~ Less Credits None
f ~
~ Amount of Lien $ 288.64
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~ ~ tr
~ Dated at Fort Pierce, Florida, this ~ day of January ,
19 75 .
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•
(S' nature) ~
~ . County A~torney
~ (Title) .
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~ Stn'OR,1 to and subscribed before me
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~ t:~is day of _ .t , ~9 7~ .
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~ Notary Public State of Florida e~t Large F~`l~ :`,,;f,
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My Cox?mission Expires: i~~ -~•i~~S~`°'~~~ ` P" • -
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RALPH B. Vti'IL~GV. ? - , ~f~•~~a .
sa'..~x,l ~ f'~r:~aGE:. F~JFi:GA ~j ~ 1,
COURTHOUS=- ?'T. !'o , ' ;
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