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~ F~LEO AN0'AE~p~O~ ~
ST. LUCIE COUNTY p ~ ~
NOTICE OF LIEN ~F-C~R~ VERIF~Ep~' ~
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'T4 OCt 22 PN 1: 16
STATE OF FLORIDA ''R
~ CLERK
C RCUfT COURTJ
COUNTY OF ST. LUCIE ~
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 ~
1~~•28 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
(Name of
James Martin of 1312 Atlanti; Ave., Ft. Pierce, Florida !
Indigent 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:
I~ospital: Fort Pierce Memorial
Date Admitted: 6/28/70
Date Discharged: ~~2~~~
Number of Daya: 4 at $ 44.32 per day = $ 177.28
~ Less credits None
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' Amount of Lien $ 1~7.2~
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~ DATED at Fort Pierce, Florida, this ~v?~.t,~ day of
~ October , 1970.
~ .
~ .
~ (Si ature)
~
Caunty Attorney
~ (Title)
~ SWORN to and subscribed before me _ -
° .
~ / ~:~w~~.~ •
~ this ,~v~ day of ~~-t.x-.~1~ ~ 19rIn~, 1~tll iI/I1Ijd~W~,:~"~;`..
~ `vtt~.;~..~~~`: ~~.f+..
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Notary Public State of Florida t Lar~~' ~
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~ My Commission Expirea sT
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~ I// ' ~t(f~,`~Q~l~~!- ;
~ TMIS INSfRUb1ENT WAS PREPAREO ~T a f~~~ ~~i111N~~~~~~``~~~'~
~ ~ RALPH B. WIISON. ST. LUCIE COUNTY -~'~t''
GOURTHOU ~E. FT. PIERGE. FLORIDA dOaK 18? P~(,E
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