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FilEO~ AND RECORDED~
ST. L,UCIE COUN7Y. i~Lp,"'
~ NOTICE OF LIEN RECnR~ v~~~f,~~~
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~ ` '69 JUL 2 AM 9; g2
STATE OF FLORIDA ~ ~j'~Q~~ O
ROGER f'QITRAS
COUNTY OF ST. LUCIE CLERK CIRCUIT COURT~
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~ 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 Nine Hundred Thirty and 72/100
930.72 ) Dollars against any real or personal property _
or interest therein presently held or after acquired by
(Name of
~ Athele Harrell of 2513 Avenue J, Fort Pierce, Florida
Indigent or Recipient) (Address) ~
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
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of welfare assistance, as follows: ~
Hospital: Fort Pierce Memorial
Date Admitted: 4/2/69
.
~ Date Discharged: 4/23/69
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! Number of Days: 21 at $ 44.32 per day = $ 930.72 -
i Less cXedits None
Amount of Lien $ 930.72
DATED at Fort Pierce, Florida, this .3~ day of
June , 1969. ~ ~
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(Sig ature) , .
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' ~ County Attorney: ~ ~ _ , ~E
; (Title) • . - ~ .
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~ ,•~~`,5WO~2N~ to and subscribed before me -
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~ J~~,t,~ii¢. O day of , 1969.
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~ ••K t~ry Public State of Florida at L e
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~"'t~ ~ ~o / 973
~ Ky`'Commission Expires: ~ _T_ Q~~~
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~ TMIS INfTRUMENT WAS MEPARED BY
AAIPH B. WIl50N. ST. LUCIE COUNTY
~ G4URTHOUSE FT. PIERCE, FLORIDW
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