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RILEO AN~ 11ECOROEO
~Gf~~J af8: Q~~t1i•Y. ~FLA.
~~~8~~ NOTICS OF LIEN ;F~~06Rp"V~RIR~EO
. . - . 1948'7i
't0 JUN 19 IW 9:3~
STA'r8 OF FLORIDA r~~~, ,
ROGER POlTR
CORJNTY OF ST. LUCI$ C~ERK~~RETUTFCO T'
_ . . .
. NOTICE is hereby given that pursuant to the provisions of
~ Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
C~cuaissioners of St. Lucie County, Florida, claims a lien in the
amount of ~ro Hundred Twenty-one and 60/1Q0 .
r 221.60 Do2lars against any real or personal property
or interest therein presently held or after acquired by
(Naiae of -
Dosha Nickell of 2010 St. Lucie Blvd., Ft. Pierce, Florida
Indigent or Recipient) ~ {Address) ~
for money directly spent by St. Lucie County for the care, hospital-
izati~on, sustenance or n?aintenance of said Indiqent or Recipient
of welfare assistance, as follows: ~
Hospital: Fort Pierce Memorial -
Date Admitted: 12/25/69 ~
. Date bischarged: 12/30/69
Number of Days: 5 at $ 44.32 per day.= $ 221.60
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~ Less credits None~
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Amount of Lien $ 221.60
DATED at Fort Pierce. Florida, this day of. ~
June 1970.
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(Signature) - ~ -
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- County Attor ~
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SWORN to and subscribed before me . ~
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this day of , 19~0.
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Notary Punlic State of lorida Large ,;~~.~~~`y~`~~.='~ -
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Y~r~oo~M~ a~~iE a nar:a~ Rr u~ = `M~ ' ~8~ "j ~
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My Co.~zimiss ion Expires : ~RES 21, i~74 Q4~a~d'~ ~:-;s~==
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THIs INSTRUMENT 1NA4 PREAARED BY ` j e v~~'~Y `}r
RALPH B. WILSON. ST. LUGE C~UNTY ~ ~ r.~`~• • v.~
COURTHOU~E, FT, PIERCE, FLORIDA ~~t~t,~~ ~~._'"~~;t'l~~ .
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