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STAT$ OF FLORIDA
COUNTY OF ST. LUCI$
FIlEO AND RECORDED
ST. LUCIE COUNTY. FLA.
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'69 AIIG 22 PM 2 .25
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CLERK IRCUIT COURT:
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 Forty and 69/100
($ 40.69 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
(Name of
Moses Ricks pf 612 No. 9th St., 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
of welfare assistance, as follows:
Hospital:
Fort Pierce Memorial
Date Admitted:
NOTICE OL+' ,LI$N
10/15/68
Date Discharged: 10/16/68
Number of Days: at $ 40.69 per day $ 40.69
Less credits None
Amount of Lien $ 40.69
DATED at Fort Pierce, Florida, this 11/y~ day of
August 1969.
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.-SCORN;~.o~~arid Subscribed before me
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County Attorney
(Title) _
1969.
Notary Public State of Florida Large
My Cotmcnission 8xpires: ~~ ~~73
Tests INSTRUMENT \YAS F!:EPARF.D BY
RALPH B. N/I1.5~?J. `iT LUCIc CUvNT!
COURTHOU5~'. FT. Pl:..ftC;E, FLORfDA
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