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F~~EO nNO RECOROEO~
, - ST, l.UC1E COUNTY. I~Lq, ~
NOTICE OF LIEN RECORD VERIFiEO
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' ~ '69 JUL 2 AM 9: S ~
STAZ`S OF FLORIDA '
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CLERK C RCUIT COURT~
COUNTY OF ST. LUCIE
NOTICE is hereby gi~en that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, A~ts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Six Hundred Sixty-four and 80/100
664.80 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
(Name of
Rose Jennings pf 503 N. 15th St., Fort Pierce, Florida
Indigent or Recipient) (Address)
~ for money directly spent by St. Lucie County for the care, hospital-
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~ ization, sustenance or maintenance of said Indigent or Recipient
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of welfare assistance, as follows:
~ Hospital: Fort Pierce Memorial
Date Admitted: 4/3/69
~ Date Discharged: 4/18/69
Number of Days: 1~ at $ 44.32 ~ per day = $ 664.80
Less credits None
Amount of Lien $ 664.g0
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~ DATED at Fort Pierce, Florida, this .3~ i day of
~ June , 1969.~
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Nb~ary Public State of Florida at ge
My~'Caanaission Expiress 7~J '
TM1s flffTlIUMENT WAS PR~PAREO BY YV11R~~
RA~.PH B. WILSON. ST. LUCIE COUNTY
GONRTMOUSE FT. PIERGE FLORIDA
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