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184'?"Q2
, FILED AND RECORDED ;
ST, L~CIE COUNTY. fLA.
~ NOTICE OF LIEN ~tE.C04Q VE~I~IEQ :
~ 184"702 ~ '
. ~
~ _ ~'69 OCT 23 AM 9: 3 (
STATE OF FLORIDA
~CQ~:•~R r ~1'?'RAS ,
COUNTY OF ST. LUCIE CLERK C{RCUIT COURT
.
NOTICE is hereby given that pursuant to the pr~visions of
Chapter 65-2181, Laws of Florida, Acts.of 1965, the Board of County
~ Commissioners of St. Lucie County, Florida, claims a lien xn the
amount of Seven Hundred Ninety-seven and 76/100
797.76 ) Dpllars against any real or personal property
or interest therei.n presently held or a£ter acquired by -
- ~ (Name of
Athele Harrell. ~ of 2513 Avenue J, Fort P~ierce, Florida
Indigent or Recipientj (Address) ~ '
for money directly spen~ by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Reeipient
of welfare assistance, as follows; :
Hospital: Fort Pierce Memorial
Date Admitted: ~/12/69
Date Discharged: ~/30/69
Number of Days: 18 at $ 44.32 per day = $ 797.76
.
~ Less credits None
i
~ Amount of Lien $ 79~•~6
DATED at Fort Pierce, Florida, this ~,Z day of
October 1969.
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. (Sign ture)
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_ ;,L : _ ; ,
~ County Attorney - - - ~
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(Title) : ~ ~
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SWORN to and subscribed before me .
,~;::s~+ur~. / ~ ; ~'`,,Y~
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t~i,~'':'d.~_
~
~ day of , 1969. ~ •
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~ Dio~Y~ ~~f~ub~.~;c State of Florida a arge
My.Com~riis~ion Expires: ~7 ~ ~ /'~f 73 -
' THt~ INSTRUMENT WAS PREPARED SY d~/V1~~~ PAYC~~~/
RAIPH B. WIt~ON, ST. LUCIE COUNTY
COURTHOUSE. ~T. PIERCE. FLOP.ID~A
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