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1'ILEO AND'1~~CQ!lDE~' ~
~`9~~~ NOTICE OF LIEN ST~ EuCORp YERIFY~O~~
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STATS OF FLORIDA
~ ROG R ~'QITRAS
COUNTY OF ST. LUCIE CLERK ClRCUIT COdRT~
NOTICE is hereby given that pursuant,~o the provisions of
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Chapter 65-2181, Laws of Florida, Acts of 1965, th~ Board of County
Commissioners of St. Lucie County, Florida, claims a lien in th~e
amaunt of Nine Hundred Thirty a~d 72/100 '
930.72 ) Dollars against an~ real or personal property
or interest therein presently held or after acquired by
~ (Name of
Ruby Mar-shall of 1106 N. 22nd St., Ft._pierce, Florida
Iridigent or Recipient) (Addressj
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or mai.ntenance of said Tndigent or Reeipient `
of welfare assistance, as follows.: -
- Hospital: Fort Pierce Memorial
Date Aclmitted: 11/25/69
Date Discharged: 12~16/69 -
.
~of Days: 21 at $ 44.32 per day = $ 930.72
-
Less credits ~~a~-~----
Amount of Lien $ 930.72
DATED at Fort Fierce, Florida, this ~ day of
March , 1970. .
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SWORN to and subscribed before me
this day of ~ ~.G~ , 19~p . . -
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Notary Fublic Sta~e of FZorida Larg
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My Commission Expires : / 1q ~ '~:c>'~ ~
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THIS INSTRUILtENT WAS PR~p ~ ~ y~ •
ARED Qy •f yy~t~~;a~
R/1LPH g. Wf~ON. ST. LUCIE C
E. FT. Pt~RCE. F ~l,FL~~`.,,.`•
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