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STATE OF FLORIDA
~ ; DEPART~IEVT OF HEa?LTH AND REH,~?BIL1TATtVE SERVICES )
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Rrc Fce nova~.~+s Dn~oN N OT ! C E of L 1 E N
l~ee 5_~_3L Lueie County Client Vumber (~9-G51 19-02
i) ~'us S.---(:~ of Ci t Cout! 9-1056
Lien Vumber
Int i S By ~
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` - Dep~ty Clerk '
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Pursuant to the provisions of Section 402.33(8) (a), Florida Statutes, notice is hereby given that there have been ~ssessed,
~ u:suant to provisions of said law. against Vi~isn Cosr/ell !
2704 Sheridan Blvd. '
Ft. Pierce Florida 34950
~ iiability for payment of fees to the Florida Dopartment of Health ~nd Rehabilitative Services. pucsuant to tht prov~s~ons of iaid
isw, the sum of S 312 .00 unpaid fees, which after demand for payment thereof remain unpaid, and that by virtue of the
.~be~e mentioned law the amount of said fee, constitutes a lien in favor of State of Florida Department of Health and Rehabilitative
S~rvices upon any title or interest, wnether legal or equitable. in any re.l property, chattels real, ar pcnonal property of sa?d ~lient
or responsible pariy. SeCtiOtl 402.33( 8)( b) , Florida .citatutes.
Periods for w!uch fees have been assessed, and the amounts thereof, ate as follows:
Michael L. Yare (clieat)
titonth/Year Fee Assessed :~[onth{Year Fez ~sxssed
1 ~ 0
luvenile Division ~1~1N ZQ P 1:03 ~
Case #89-1189 ~
I L E C RE
~ ~ UGLAS L~lXGN C:.
. LUCiE ^~,Nl't.
August 1989 300.00
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~ Plus Accnied interest
~ Recordin Fees 12.00
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~ Totat S 312.00 ~
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~ r ~ i s 19 t hday ot Ja n ua r~ o. t 9 90 STAZE OF ~L~tIDi~ OEPA[~~ENT OF [~AL'IH
~ AI~D SF~NIC~
Tnis instrument prepared by:
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~ herri Capps, Parale~al S!P~ia1~s~
';epartment of H9alth 6 Rehabilitativs Services Authorized Otticial
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~ '.tt Georgie Avenue
~ ~test P~1¦ Beach. Florida 33401-5298
~ 407/837-5087 - SunCoa~ 2S2-S087 Not - Sta~~p, A
~ ~ NOWp Pubtk Stat~ d Fb~M
Sr+orn to and Subscribed bstore ais this ~day ot A.D.. 19qQ. ~~?~~~P~?p
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HRS Fwn~ 340. ~ ~;t;~.? ~ ~/~r ~74 PACE1?~0
Scock Numo~r 37a0-000•OS~O-11 ~0~^ ,
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