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191~.63 ~~~.EO ANO RECtlROtpf
ST.1.UC1E~ CQUI~T:Y. F~,/?.
NOTICE OF LIEN ~F~~ Q ~~~~~~p ~
. 91163
. ~ ~~'70 MAR I 8 AM. 9 Ss
STATE OF FLORIDA . ~ ' '
. Ro~e POITRAS
COUNTY OF ST. LUCr~ - CLERK ~~~~,QpU~~:
NOTICE is hereby given that pursuant to ttie provisions of
_ _ _
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of Counfiy
Commissioners of St. Zucie County, Florida, claims a lien in.the . ,
amount of - Three Hundred Fifty-four and 56/100
(~S 354.56 } Dollars against any real or personaZ property
' ~or interest th~rein presently held or after acquired by
• (Name of
Jacob Bush of 1307 Avenue E, Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St, Lucie County for the care, hospital-
ization, susteriance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
- .
Hosgital: Fort Pierce Memorial - -
Date Admitted: 11/'19/69 ~
~ Date Discharged: 11/27/69
Number of Days:- 8 at $~4.32 per day = $ 354.56
Less credits None • ~
Amount of Lien $ 354. 56 ~
DATED at Fort Pierce, Florida, this /7 ~ day of
March , 1970.
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(Sig ture) ~ ~ ~ ~ ~:°a~•j~
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. ~ County Attorney ~,r _ ~
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(Title) 3~ r , .
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SWORN to and subscribed before me ~
~
this ~"1 day of d~~ . 1970.
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Notary Public State of Florida at Large 0~z~ x~~t;
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My Commission Expires: :l/ ~~7 ~ r~~='
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THIS IN9TRUMENT WAS PAEPAREO BY l~ ~I ' ,yf~ .
RALPH B. WILSON, 5T. LUCIE COUNTY ~
COURTHOUSE. FT. PlERCE. FLORID~ t'
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