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PtLEO AND RECOR~QO'
ST. LUCIE COUMTY; FLA,`
NOTICS 0~ LIEN RFCORD VERiF1Ep
183325
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STATS OF FLORIDA ~
ROG~~ FUIT~'AS ~
COUNTY OF ST. LUCIE CLERK CIRCUIT COURT~
NOTZCE fe hereby qiven that pursuant to the proviafona of
rhapter 65-2181, Lawa of Flarida, Acts of 1965, the Board of Cou~ty ~
CaNaisaionera of St. Lucie County, Florida, claims a•lien in the
amount of Six 8undred Ten and 35/100 ~
610.35 ) Dollara aqainst any real or personal ro
p perty
or interest therein gresently held or after acquired by
(Name of
James Blackman of 419 No. 9th St., Fort Pierce, Fla.
Indigent or Recipient) (Address)
- for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maiantenance of said Indigent or Recipient
of welfare assistance, as followsz . ~
Hospital: Fort Pierce Memorial
Date Admitted: 7/S/68
Date Dischargeds ~/23/68 ~
Number of Dayes 15 at $ 40.69 per day ~ $ 6I0.35 -
: Lesa credits None
Amoun~ of Lien $ 610.35
~ DATED at Fort Pierce, Florida, this day of
- September , 1969.
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~ ~ County Attt~p~~''
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SwORN to and subscribed 3 ~ ~
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before me ~
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t;~~s . ' r day of . , 1969. ~ : - -
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'i~4k.~r~~~#r~,~_ State of Florida a Larqe
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YMI! 1N~Wa1~ Y~Af P1tEPAREO 9Y
x~?~r~ e. w~~.sor~. sr. ~uciE couNrir ~ d00K18~ PACF ~
GOURTHOUS~. FT. PIERGE. FLORIOA
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