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182156
NOTICE ~' LIEN
STATE OF FLORIDA
COUNTY OF ST. LUCIS
NOTIC$ 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 Six Hundred Ten and 35/100
($ 610.35 ) Dollars against any zeal or personal property
or interest therein presently held or after acquired by
(Name of
Eva Mae Collins of 510 No. 11th St., Ft. Pierce, Florida
Indigent or Recipient) ~ (Address)
for money directly agent 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: 2/25/69
Date Discharged: 3/12/69
Number of Days:+ at $ 40.69 per day = $ 610.35
Leas credits None
Amount of Lien $ 610.35
DATED at Fort Pierce, Florida, this , j,,~~N~ day of •
August 1969.
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FILED AND'RECORD~~,
ST~REC Rn VERTFIEOLA~
1822 5s
'69 AUG 22 PM~
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~i0vr~ t OITRAS
CLERK CIRCUIT COURT:
(Sig ature) ••
County Attorney
(Title)
SWORN. to~~arid subscribed before me
~~ '' ~1
.this ,-~~ - day of « , 1969.
Notary Public State of Florida~t Large
My Commission Expires: ~~ 973
Tests IN STRUMEtJT YEAS PR!•PAREO BY
RALPH B. WILSON, ST. LUCIS COUNTY
COURTHOUSE, FT. PIERCE, FLORIDA
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