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N~TICE OF LIEN C~`-RR c.'•~~~j COURT
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~ ~ Ju~ 13 9 4z AH'76
STATE OF FLORIDA
3~~0~~3:3
COUNTY OF ST. LUCIE
NOTICE is hereby given that Fursuant to the previsions of
Chapter 65-2181, Laws of Florida, Acts of ,1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of ~o Hundred Fifty-five and no/100
255.00 ) Dollars against any real ar personal property or
interest therein.presently held or after acquired by ~
(Name of
Shirley Stephens of 1111 No. 28th St., Ft. Pierce, Fla.
Indigent or Recipient) (Addres~
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Tiffany Stephens
.
minor daughter of said Shirley Stephens
(Relationship)
as follows; .
HosPital: Shands Teachinq Hospital .
Date Admitted: 2/1/76 ~
Date Discharged: 2~3/76
Paid actual billing of
• Number of Days: 2 at $ 156.94 Per day 255.00
Less Credits None
Amount of Lien $ 255.00
Dated at Fort Pierce, FZorida, this ~ day of July ,
19 76
~ -
(Si nature)
County Attorney
(Tit2e)
SwORN to and snbscribed before me
this /~i?~day of _ , ~.9 .
_ ~ ` n ~ ~ .
.C.~ d~c - _ . ' .
Notary Public State of~Florid at Large ~
My Commission Expires : / -.z~ 7~ •
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