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186'716
- NOTICE OF LIEN
STATE OF' FLORIDA
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of ~
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County ~
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Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Twelve Hundred Eighty-five and 28/100 ~
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1,285.28 ) Dollars against any real or personal property i
or interest therein presently held or after acquired by
(Name of ;
Annie Solomon of' 806 N. 25th St., Ft. Pierce, Florida :
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Indigent or Recipient) (Address) ;
for money directly spent by St. Lucie County for the care, hospital-
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ization, sustenance or maintenance of said ~ndigent or Recipient ~ :
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of welfare assistance, as follows: ~
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Hospital: Fort Pierce Memorial ~
Date Admitted: 5/26/69 . ~
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- Date Discharged: 6/24/69
~ Number of Days: 29 at $ 44.32 per day = $ 1,285.28 j
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k I,ess credits None j
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Amount of Lien $ 1,285.28
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. DATED at Fort Pierce, Florida, this day of
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December , 1969. . ,
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F~~E~ ANO RECORD ~
ST, WCIE COUNTY, F~~3
~?~CO?p VERlF~Ep ~
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9 DEC 8 pM Z~ Os County Attorney
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~ ROv^= F ~-Of7RQ~
CLERK CIRCUI , "
T COURT.
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~ SWORN to and subscribed before ine ~
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~ this day o~~~ , 1969. -
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~ ry blic State of F rida at Large
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~ My Commission Expires:
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THIS INSTRUMENT WAS PR[PnZFD BY O R 1 1 1~j/
~ RALPH B. WILSON. ST. LUCI~ COUNTY BOOK1~1 PAGE1Vf.r
CdURTHOUSE, Fj'. PiERCE, FLORtDA ~
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