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NOTICE OF LIEN
PILED AND pECOR0E0'
ST. LUCIE COUNTY. FIA:
~tE'COP.O VERIFIED
STATE OF FLORIDA
COUNTY OF ST. LUCIE
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 Three Hundred Ninety-eight and 88/100
($ 398.88 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
(Name of -
Carrie Boone pf 513 N. 15th St., Ft. 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
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 4/21/69
Date Discharged: 4/30/69
Number of Days: 9 _,_ at $ 44.32 per day a $ 398.88 -
Less credits None
Amount of Lien $ 398.88
DATED at Fort Pierce, Florida, this 1.ZN0 day of
August 1969.
W .
Notary Public State of Florida at rge
My Commission Expires: ~~ ~~73
TNIS INfTRUMENT WAS PREPARED BV
12145
'69 AUG 22 M 2:25
ROGci~ ITRAS
Ci.ERK CIRCUIT COURT'
(Si ture)
. t
County Attorney
(Title) ~~}~ S.44r ~" ti'"_~=:
.,,~.;~.1.,. ~ -
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,~~` 1 1..1,E •,. ••..i .Y •!• . ~ r .
~aR~ ~~o and .subscribed before me i.~ ~- ~~~~= _~~`~~
. ~tif's~,~'~. _ -day of 1969. .~ . "~; •~.. -
;,- - •- ..
•~~ .. .
RALPH B. WILSON. ST. LUCIE COUNTY
COURTHOUSE. FT. PIERCE, FLORIDA
eooK 179 P,,~ ~~