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i ; ~ ~ ~ 7 _ Y~10TZCE UF LIEN ~ .c,TAT~ OF FLORIDA~ ` { ; COUNTY uF ~T. LUCIE ` ; , . . ~ N~JTIC~ is he~rebx given ~~h~t pursuant to ~he Qrovis ions af ; ~ s i ~hap~er b5-2181; ~ Laws of F~.orida, Acts of 1565, the ~oard of County . Commission~rs of St. Lucie County, Florida,~ claims a~ien in the ~ amount of Thrae Hundred 5ixty arid 80/100 . _ ~ . _ . . ~ . " . . - - ~ . . ~ . ~ ~60 ..80 _ _ Dollars . against any real ax~ personal property . ; or interest th!~rein pse3~ntly held or after acquired by ~ - - - ~ - ~ _ . _ ~ Brenda-Herring of ~06 N. 44th St., Fort Pierce, Fl~rida : - . (In3igent or Recipient) . (Address) - - ~ ~ #or maney dirPCtly sp~nt by St. Lucie-County for th~ care, hospital-- . . ~ ization, sustenance ~r maintenance of said Zndic~ne~: ar R~cipierat ~ of welfar~ assis~anc~, as fol~.ows: - - - - Hospxtal: Fort-Fierce Memorial - ~ - Date Admit:ted: 2/10/75 - . - - Date Discharged: -2/15/75. - ~ ~ . E - : ~ Number of Days: 5 at $ 72.16 per da~ _ $ 36C~.80 - _ -i . Less Credits None ` - , ;i r - _ ~ ` _ - Amount of Lien $ 360.80 ; - - ~ ~ _ _ - - _ _ s : . Dated at Fort Pierce, ~Iorida, this day o~ ; ~ MaY , 19 ~ 5 . - _ _ . _ ~ £ ~ ~ ; . _ . . _ - _ - ~ Fli.~~ H-; ~Y~~tlfi[1ED : . .ST.LU~s~' C~J~l~T'triiL'~. ~ ~ ~ = k4 ~i.~: ='t3:?Rt4'$ ~Slcatl 'tllre~ " ; • . ClE'r.R:;.,-.:Uji Ct~llR?i h ~ . - - - AC(`(~:' •y',-.~-•~C~~.~. ~ ~ . . " _ ~ ~ County Attorney ' . - ~t1 ~ ~ ~?l:Q~ (Tit~e) ~ ~ . _ - 3~1~2 ~ - _ _ ; ~ ~ -SW~IN to arid subsc'ribed before me _ - . _ ~ ~ , ~ r---- ~ this v~j~ day of ~~1 ~ 19~. ~ - - !~yl Qlc..1 , - / ~ ' - - - _Notary- Ftiblic State of Florici at Larg~:`'`l.",' ~7' _ ~ _ " - : ° - *2~r Commissiori Expires: ~~,~o =.i~ ~•,;p: t~~ - _ ' ~ f: - . ~ - _ ..A~ 'fa_ _ r • - ~r-P _ _ _1r:•~:~~Iyt..~~r~e~ ~'`.J~.~ry ,~~.ti ~M~ F ' ~ ~ ' ~ , 1 •y- - ~ . _ . , ' n p • ~ ~ - - . ,~~li~ ' f•' r':S~ ~l il 1S ~j~ ~ - THIS INSTRUN.FNT ~VRS FREPARED FSY BOOK RALPN B. 4Yil ~Of~I. ~T. LUGiE GOUNTY ~~''s~•-..''• t..~.:`.~' _ ~ - f'OURTHOUSE. FT. PIEi~CE. FLORIDA ' . ~ - - ~