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.~~Ol,a~r FH.EO~AND RECORDEO~
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j ' ST. LUCIE COUNTY.~ ~LA: ~
NOTICT OF LIEN RECORD VERIFIED
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~ '69 JUl 2 AM 9: t
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~ STATE OF FLORIDA
~ ROGEr~ POITRAS _
~ COUNTY OF ST. LUCIE CLERK CiRCUIT ~COURT:
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NOTICE is hereby given that pursuant to the provisions of
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~ 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
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~ ~amount of Three Hundred Sixty-six and 21/100
~ 366. 21
) Dollars against any real or personal progerty
or interest therein presently held or after acquired by
(Name of
Lois S. Smith pf 512-A So. 32nd St., Fort Pierce, Fla. -
Indigent or R~cipient) (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:
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Hospital: Fort Pierce Memorial
Date Admitted: 3/20/69
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~ ~ Date Discharged: 3/29/69
~ Number of Days: 9 at $ 40.69 per day = $ 366.21
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i Less credits None
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j~ Amount of Lien $ 366.21
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~ DATED at Fort Pierce, Florida, this .3 day of
~ J'une , 1969. . ~
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(Sign ture) ~
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County Attorney t , ~ 3 ~ ~
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~ ~i~'OR~~ tQ'~~nd subscribed before me • ~s~?` ;
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_ t~i~s day of , 1969. • .
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~ .`~.Nc~ary Public State of Florid t Large
; My~ Com~nission Expires: y 73 Q
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~ TM~i INiTRUMENT WAS PRfPAREO 9Y
~ IiALPH 0. WILSON. ST. I.UCIE COUNTY
~ COURTHOUSE. FT. PIERGE. FLOR?OA
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