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~ 3SIV I QS ST ~UCIE COUNTr ~i,Q. ~
ROCER P~ITRAS
NOTICE OF LIEN ~~ERK Cl~CUIT COURt
RECCen vEa~Fl~o
~C I l 9 31 ~ '76
STATE OF FLORIDA 3~~~~
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions 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 Two Hundred Thirty-four and no/100
234.09 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
Bri ht Sherfield ~Easter Manor) (Name of .
9 of _ 24 AvenLe A. Apt S, Ft_ Pierce. Fla.
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
~i iivciid~c a85i5'~drta:~, a5 rGZiCii~v~ :
~ Hospita~; ' Fort Pierce Memorial ~
Date Admitted: 9/13/76
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Date Discharged: 12/10/76
- - 9 co-insurance days paid
Number of Days: at $ 26_Op per day= $ 234.00
Less credits None
~ Amount of Lien $ 234.00 :
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DATED at Fort Pierce, Florida, this ~L day of
December ' , 19 76. •
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E County Attorney ~
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f SWORN to and subscribed before me . ~ ~
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Notary Public State of Florida at L~rge
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