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I ST
LUC E COUNTY ~~.A: `
' NOTICE OF LIEN ~E'CORn VER1FlEO ~
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~I . ~'69 JUl 2 AM 9: S1 .
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' STATE OF FI,ORIDA
~ r~OGEr~ POITRAS
CO~UNTY OF ST. LT)CIE CLERK CIRCUIT COURT~ .
~ NOTICE is hereby given that pursuant to the provisions of
~ Chapter 65-2181; Laws of Florida, Acts of 1965, the Board of County
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Commissioners of St. Lucie County, Florida, claims a lien in the
amount of 7~elve Hundred Forty and 96/100
1,240.96 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
; (Name of .
John A. Gore of 413 No. 6th St., Fort Pierce, Florida
Indigent or Recipient) (Address)
~ for money directlyr 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:
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Hospital: Fort Pierce Memorial Hospital
Date Admitted: 4/8/69
~ Date Discharged; 5/6/69
~ Number of Days: 28 at $ 44.32 per day = $ 1,240.96
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~ Less credits None
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' Amount of Lien $ 1,240.96
DATED at Fort Pierce, Florida, this 3? ~ day of
June , 1969.~
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(Signature) . ~ ~
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- County Attoraey . ~ac'~~
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~~~$w;b~^TYtp.,an subscribed before me ~ • ~
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- :,~.~~,'E day of _ , 1969. - j ;,,z
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Nota~ry lsublic State of Florida at rge
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° My Commission Expiresz o ~ y 73
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j THI' /NfTRUMENT WA5 PAEPARED b~
r RALPH B. W11.50N. ST. LUCIE COUNTY ~
COURTHOUSE. FT. P~ERCE FLORIDA
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