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STATE OF FLORIDA
COUNTY OF ST. LUCIE
NOTICE OF LIEN
FILED ANO RECORDED
ST. LUCIE COU~T~ ~oLA.
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CLERK CIRCUIT COURT
NOTICB is hereby given that pursuant to the provisions of
Chapter 65-2181, Lawe of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Two Hundred Three and 45/100
($ 203.45 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Helen Eaton
Indigent or Recipient) ,
(Name of
of 1006-A N. 7th St., Fort Pierce, Fla.
(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: 3/16/69
Date Discharged:
3/21/69
Number of Days: 5 at $ 40.69 per day $ 203.45
Less credits None
Amount of Lien $ 203.45
DATED at Fort Pierce, Florida, this ,~,_ /VO day of •
August 1969.
(Si ature)
County Attorney
(Title) •-~
'"
Y ~ `, `~:ii:: 1111 /j`••'. ._ ~ ~LS
i
'~~;Si~Tblt~i~t'Gi,,~aft}cl``•subscribed before me
~h~i ~"= day of « 1969.
. ~ I}H•r'
f ~ ~tot~ .y~.~ubl'ic State of Florida at L ge
My Commission Expires: v O / 9 73
THIS INSTRUM[NT WAS P!!lPARlD SY
RALrH B. WILSON, ST. LUCIE COUNTY
COURTHOUSE. FT. PIERCE. FLORIDA
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B~R><~.79 `~.~ 134