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~ ~ 18'0i24 ' Fr~o ANO RECOao~p~
~ ST. LUCIE COUNTY,~ F~,q;~~
~ NOTIC$ 4F LIEN R~COR~ VERlFIED
~ . .1$01~24
~ ~ '69 JUL 2 A!I 9: S
y'U"'" D
STATE OF FLORIDA
ROCER ~OITRAS
COUNTY OF ST. LUCIE CLERK CIRCUIT COURTj _ ~
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 Six Hundred Fifty-one and 04/100
~ 651.04
$ ) Dollars against any real or personal property
i
~ or interest therein presently held or after acquired by
(Name of .
Fred Harris pf 444 Means Ct., Fort Pierce, Flo~ida
Indigent or Recipient) (Address)
d
~ for money directly spent by St. Lucie County for the care, hospital-
; .
a
f
~ ization, sustenance or maintenance of said Indigent or Recipient •
.
~ .
~ of welfare assistance, as follows;
~
~ . Hospital: Fort Pierce Memorial
t
~ Date Admitted: 11/3/68 ,
Date Discharged: 11/19/68
' Number of Days: 16 at $ 40.69 per day = $ 651.04 ~
~ ~
Less credits None
Amount of Lien $ 651.04
~ ~
~ DATED at Fort Pierce, Florida, this day of
June , 2969. - '
~ . t , • . • . . ~ ' '
~ ' '
~ (Sig ature) Y>.-~-~ . ~ ~
,
f. . 1 . ,f' . `
' County Attorney~ ,
~
~ (Title) - .~1..;; .
~ -5`: ' ; ~~t~i';?~~~• ' ~
~
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~ S;~IffRI~-tQ~~nd subscribed before me , ~~,~.L~Y, j.
~ n . 1 ~
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~ ' O~ . ' {
~ ' _tli~s' day of , 1969. ~
~ ~t~`'~~ - - .
~ .
~ 'Ho~~r~r~P~blic State of Florida at ge
~ .
~ o /~73
My'•Comnaission Expires:
~ THI! INfTRlJMENT WAf PREPARED OY
£ RALPH B. WILSON. ST. LUCIE COUNTV
~ COURTHOUSE FT. PIERG~. FLORIDA
~ , ' _ -
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