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~ .FILED'ANO`RECOROEtS~
ST. LUCIE COUN7Y. FIA:'~
NOTICS OF LIEN F~[ CORD Vf:RIF~Ep
. 200Ug2
'10 OCT 22 P I: 16
~ STATE OF FL4RIDA
ROGE:R ~'OtTRAS
~ COUNTY OF ST. LUCIS ' CLERK CIRCUIT COURTi
NOTICE ig hereby qiven that pursuant to the provisions of ;
Chapter 65-2181. Lawa of Florida, Acts of 1965, }he Board of County
Commissioner~ of St. Lucie County, Florida, claims a lien in the
amount of Eleven Hundred Ninety-six and 64/100
1,196.64 ) Dollars against any real or personal property
. or interest therein presently held or after acquired by
(Name of
Beadv O. Scott of 1814 Dayman 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, a~ follows: '
Hospital: Fort Pierce Memorial
Date Admitted: 6/1/70
Date Discharged: 6/28/70
Nwnber of Days: 27 at $ 44.32 per day = $ 1,196.64
i Less credits None
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{ Amount of Lien $ 1,196.64
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DATED at Fort Pierce, Florida, this ~v~i'.-~-~( day of
October , 1970. -
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(Si~ ature)
CQUnty Attorney
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~ ~M~~~~~,ORN to and subscribed before me
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;e'` I~ublic State of F~orida a Large
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~i~~~;'~aiamission Expires: ~ ~9
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