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NOTIC~ OF LIEN
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, STATE OF r`LORSDA 3~.~,~~~ .
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COUNTY OF ST. LUCIE
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~ NOTxCE is hereby given that pursuant to the provisions ~f
~ Chapter 65-2181, Laws of Fl~::ida, Acts of 1965, the Board of Cour?ty
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~ Commissioners of S t. Lucie County, Flarida, claims a lien in the ~
amount of Two Hundred ~eventy-four and 29/lU0
~ 274.29 Dollars a ainst an real or ersonal ra ert or •
~ 9 Y P P P Y ~
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± intere~t_.therein presently helc]_ or after acquired by
,
; ~ ~Name nf -
s.~ Robert & Lina Burger of 809 N. 23rd St., Ft. Pierce, Florida
~ Indigent or Recipient) ~ _ (Addressl
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for money directly spent by St. Lucie County for the care, hospital-
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ization, sustenance or maintenance of Anthony Jerome Burger
minor son ~ of said Robert &~,ina ~urger
' ~ - (Relatiqnship) _ #
: _ as follows : ~ . • . ~
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, Hospital: Fort Pierce Memarial - - ~
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~ Date Admitted: 3/17/75
- Date Discharg,ed: 3/20/75 ~
_ Number ot Days : 3 at $ 91. 43 per day = $ 2~4-• 29
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Less Credits - Nor.e
~ Amount of Lien $ .2~4 • 29
Dated at For~r P'ierce, Florid'a, this ~ day of June - ;
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- 19 75 . ~ ~ - - _ ~ {
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(Si nature) :
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~ ~ County A~torney
3~'~63 ;
- - - - - (Title) . ~ ~ ~ t
swoxsy to and subscr~bed before me
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thi~ ? ~ day of ' , ~9,~:
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Notary Public State of Florida a ar~e~•'
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My Commission Expires 7,~ ' i . _ , - -
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- 7HIS IN£,TFiUMET7T tVAS PREPARED BY ~,~.~r ~ ~ -
RALPH B. WILSON. ST. LUCIc COUNTY ~~ij3t:'. t~~~!'•°, Q~<3 ~i < (j ~
~::~„~~i~~~~~' 800K~r4V PA!'~ ,~rt7~0
GCiURTHOUSE. FT. PIERCE, FLORIDA ,
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