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NOTICE OF LIEN 1867'1~ 1
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STATE OF FLORIDA
COUNTY OF ST. LUCIE
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 Six Hundred Sixty-nine and 28/100 '
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629•28 ) Dollars against any real or personal property
or interest therein presently held or after acquired by .
(Name of
Annie Solomon of'806 No. 25th St., Ft. Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance o£ said Yndigent or t~ecipient
of welfare assistance, as follows: ~
Hospital: Shands Teaching
Date Admitted; 6/24/69 ~
- Date Discharged: ~~27~69 ~
Paid
Number of Day~ 12 at $ 52.44 per day = $ 629.28 -
~ ~,ess credits None
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~ Amount of Lien $ 629•28 ;
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DATED at Fort Pierce, Florida, this ~ day of
December 1969.
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~ RILED ANO RECORDED' ~
~ ST. LUCt~ COUNTY F
~ ~~CORO ~JERIFiEp ~
~ ' (Sign ture)
~ County Attorney
~ ~ '69 OEC 81 H6~1 ,
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~ ~ (Title)
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: ROGCP, ~-pITRAS `
CLERK ~ `
~ ciRCV~r couRr; . ~
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~ SWORN to and subscribed before me
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this• d' day of . , 1969.
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~ No y P ic State of Flor' at Large
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~ My Commission Expires:~~_ - ' ~
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THIS INSTRUMENT WAS PREPARFO BV
RALPH B. WILSON. ST. LUCIE COUNTY O R 1Q~ ~E~V~i4
COURTHOUSE. FT. PIERGE. FLORIDA dOOK v ~
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