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~ FIlEO AND RECORDE01
ST. LUCIE COUNTY. FIA.'
NOTICE OF LIEN f~•`~'~~~~ ~'r~IF1FD
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'ZO OCT 22 I : 16
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STAZ'S OF FLORIDA ~
ii4GE~^t r OITR4S
COUNTY OF ST. LUCIE CL~RK CIRCUIT CQURT~ ~
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts o£ 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 gresently held or after acquired by
(Name of
Doretha Jackson ot 1302 N. 21st St., Ft. Pierce, Flori~a
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;
Hospita2: Fp~t Pierce MemOrial
Date Admitted: ~/2~/69
Date Discharged: ~/31/69
Number of Days: 4 at $ 44.32 per day = $ 177.28
; ~ Less credits None
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` Amount of Lien $ 1~~•28
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~ DATED at Fort Pierce, Florida, this oZo~~ day of
October , 1970.
Sig ture)
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~ County Attorney
~ (Title) ~
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~ .~~,.~lQ$,~T°~-to and subscribed before me
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4=th~j3•~ ~ day of ~~-~-~~~~'t/ , 1970.
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Iic State o~ Florida at Large
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t~;.,~issioo~*~xpirea: ~.t, ~ % /97~
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~ 'TNIt INfTRUNE?1T Y/AS PREOAf:CO BV
• RALPH B. WILSON. ST. LUCIE COUNTY
~ COURTMOUSE. FT, p1ERCE. FLORIDA d p~~$~ ~'/;~E~~~
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