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. FILEp AND RECOROEO • '
ST. CUCIE COUNTY. FLA. ~
NOTICB OF LIEN RFCOR~ VERIF~~ J~58
. 'TQ Jtll I4 A!I 9:52 ~
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STATS O~F' FLORIDA ~ ~ ~ ~
R0~_R POITRAS ~
COUNTY OF ST. LUCI$ CLERK CIRCUIT COtSRT-'
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NOTIC$ is hereby qiven that pursuant to the provisions of -
Chapter 65-2181, Laws of Flarida, Acts of 1965, the Board of County
Commissioners of St. Lucie County,. Florida, clai~ns a lien in the .
amount of One 8undred Thirty-two and 96/100
. .132.96 ) Dollars against any real or personal property
or i.riterest therein~presently held or after acquired by •
- - . (Name of
James Gollett pf 430 No. 12t1i St., Ft. Pierce, Florida
~ndigent or Recipient) (Address) ~
' for money directly spent by St. Lucie County for the care,~hospital- ,
ization, sustenance or maintenance of said Indigent or Recipient ~
of welfare assistance, as follows: .
- Hospital: Fort Pierce Memorial
. Date Admitted: 2/10/70 = ~ _
~ Date Discharged: 2/13/7Q
Number of Days at $ 44. 32 _~r ~y = $ 132. 96
~ ' Less credits - None
; - .
~ Amount of Lien $ 132.96- ~
t •
~ DATED at Fort Pierce, Florida, this /3 ~ day of
~ JulY , 1970. " .
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(Sl ature) ..'.~~;''r.3,'
' ~i.,3: i~ f
. ~ County Attorney
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SWORN to 'and subs cr ibed be f ore me 4
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.y~tlit3~flrrr:,, .
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•l.F .c~ay of , 1970.
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, y~ ,~c 3tate of Flori at Large ~
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RALPM•R WIL~ON. ~T. LuC1E COUNTY .
CONRTiIO~j~w f'T. PIERCE FLORlM
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