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F~lEO AND R~CORDEO ~
193102 - sT. _~~cra: COUNTI~. F~a. .
NOTIC~ OF LIEN r'=COr~^ ~,~~~~02 .
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STATB OF FLORIDA c~-Y~c ~
??O.~~R ~~O17PAS
COUNTY OF ST. LUCIT CLEr~K CFt~Cttflr:~iQURT
L~O'~ICE is hereby given that pursuant to the provisions of
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County t
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Three Hundred Ten and 24/100
310.24 Dollars against any real or personal property
or interest therein presently held or after acquired by
(Name of
Reginald Smith of 1215 Avenue F, Ft. Pierce, Florida
Indigent or Recipient) (Address) -
for money directly spent by St. Lucie County for the care, hospi.tal-
ization, sustenance or maintenance of said Indiqent or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 1/31/70 .
Date Discharged: 2~~~~~
Number of Days:_ at $ 44.32 per day = $ 310.24
i Less credits None
Amount of Lien $ 310.2~
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DATED at Fort Pier~e, Florida, this day of
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~Y , 1970. ~
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~a ' ~ ~ ~ ~ County Attorney
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SWOR~]' to and~ subscribed before me
this ~ day of ' , 1970.
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Notary Pub~ic State of Flori at Large ~,•..,-y~~~~~1,'~~..;~;:=
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My Commission Expires: ~ ~oz ~ ';~~~~~r:, =
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THIf INiTRUMENT WAS PREPARED BY ~y • 'l ` ' ~ + t'~ , / '
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i:ALPH B. WILSOIV. ST. LUGE COLJNTY ~av ` ~
C.7URTHOU6E FZ PIERCE. FLORIDA ~r' ~~~y''h• Q : ~
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