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FILEQ AND RECppDED
ST. LUCIE COUNTY. FLA.
NOTICE OF LIEN ~?F r~~n ~~ERIFiFD "
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'TO JAN 2 AM 10: 43
STATE OF FLORIDA
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COUNTY OF ST. LUCIE ~~-ERK CIRCUIT COURT~
I~OTICE 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 One Hundred Seventy-seven and 28/100
177.28 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
(Name of
Rosa Lee Tommie pf 1706 School Crt., Ft. Pierce, Florida
j Indigent or Recipient) (Address)
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~ for money directly spent by St. Lucie County for the care, hospital-
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~ ization, sustenance or maintenance of said Indigent or Recipient
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~ of weltare assistance, as fol~ows:
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~ Hospital: Fort Pierce Memorial
~ Date Admitted: 10/13/69
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~ Date Discharged: 10/17/69
~ Number of Days: 4 at $ 44.32 per day = $ l~~•28
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a . Less credits None
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~ Amoun.t of Lien'` l~~' 28
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~ DATED at Fort Pierce, Florida, this ,Z /yd day of
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January 1970.
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(Sig ature)
= - County Attorney
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SWORN to and subscribed before me ~
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this ,Z ~ day of 1 , 1970. ~
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Notary Public State of ri a at Large = `
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- My Commission Expires: ~/~~9 : = ~.~ti• -
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- THIS INSTRUMENT WAS PRE°AP.ED BY
RALPH B. WtLSOfV. ST. L'JC;~ COUNTY
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. COURTHOUSE, FT. PIERCE. FLORIDA BOOK~~S PA+~~~
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