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STATS OF FLORIDA
CO~JNTY OF ST. LUCIS~ ROG~ ~ ~
CIERK CIRCUIT 0 itT1
~ NOTICE is hereby given that pursuant to t2~e provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Coa~uaissioners of St. Lucie County, Florida, claims a lien in the
amount of Eighty-eight and 64/100
~ 88.64 ) Dollars against any real or personal property
or interest t2~erein presently held or after acquired by
Haaer Shanks (Name of
of 1003 N. 13th St., Ft. Pierce, Florida
Indigent or Recipient) (Address)_ ~
for nLoney directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follvws:
Hospital: Fort pierce Memorial -
- Date Admitted: 3/8/70 ,
: Aate Discharged: ~ 3/10/70
Number of Days: 2 at $ 44.32 per day.= $ 88.64
;
~ - Less credits None
~ ~ .
; Amount of Lien $ 88.64 _
DATED at Fort Pierce, Florida, this ~ day of
Jtuie - , 1970. ~ . ~
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SWORDT to and subscribed before me ~
this day of , 1970. ~
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hotury Pu:,iic State f Florida at Large `~~''g~~.'
- ~ /~lL1C? AIfTE OF MRiDA AT tltiiCE • ~'-•'~•r. .
YY OOMM15StON ExPIRES ~MI. 21. 1974 r+ •
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