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1~21~2 FtLEO AND RECORDED
ST. LUCIE COllNTY. FI.A.
NOTICE OF LIEN ~ ~2~.C~~~~ ~lFt't}
1921~2
'TO APR I 4 PM 3: 5 I~~
STATE OF FLORIDA '
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COUNTY dF ST. LUCIE CLERK CIRCUI7 COURT
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 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
Ezra Lee Mos~ of Rt. 4, Box 706, Ft. Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
;
. z
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial - • ~
Date Admitted: 11/30/69
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I~ Date Discharged: 12/4/69
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Number of Days: 4 at $ 44.32 per day = $ 177.28
~ Less credits None
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~ Amount of Lien $ 1~~•28
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DATED at Fort Pierce, Florida, this / ~ day of
April , 1970.
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(Signature) v r ~ ~tj~''~~. , ~ ~
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County Attorr~by„a~~,., . ~
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~ SWORN to and subscribed before me ' i
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~ this ~ day of , 1970 . 7 ~ ~
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~ Notary Public State of Florida a Large
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~TARI MIBIIC, STATE OF F10RIDd1 AT tANOE t~ ~ ti's;
~ w COMMISSIOPI EXPIRES JAIV. 21 197~iy
My Commission Expires: ~arnEn ~a~,._,~ ...~_~~a~ .
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~ TMI$ INSTRUMENT \VAS PR~PAFtED BY ~
RALPH B. WlLSON. ST. LUC1- COUNTY ~ Q A Q~ ~ ~
= GOURTHOUSE. FT. PIERC~. FLORIDA gOOK10 ~
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