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~ f ILED AND RECORD~ED
5?. LUC1~• ~0~~. .
NOTICE OF LIEN ^~;'n ~r~~r~'
'TO OCT 22 PM 1: 16
2C00~3
STATS OF FLORIDA
~OI1R~S ;
COUNTY OF ST. LUCIE ~IERK CIRCU~?'COURT ;
. ;
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County i
Commissioners of St. Lucie County, Florida, claims a lien in the ~
amount of Eight~•-eight and 64/100
;
88.64 ) Dollars against any real or personal property
or interest therein presently held or after acquired by ~
(Name of ~
John Allen of 1907 Avenue Q, Fort Pierce, Florida ~
t
Indigent or Recipient) (Address)
's
for maney directly spent by St. Lucie County for the care, hospital- ~
;
ization, sustenance or maintenance of said Indigent or Recipient r
d
of welfare assistance, as follows: ~
3
.
Haspital: Fort pierce Memorial ~
f
Date Aclmitted: 6/29/69 ~
Date Discharged; ~/1/69
Number of Days: 2 at $ 44.32 per day = 88.64
~i Less credits None ;
i
` 88.64
{ Amount of Lien $
~
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~ DATED at Fort Pierce, Florida, thia ~~?,ti~ day of '
Ocbober 1970.
~ '
~ .
~ ~
~ (Sig ature)
~ i
~ Coun~y Attorney
~ (Title) ~
~ ~
~ , -
~ ~
~ SWORN tQ.:~:nd subscribed before me
~ . _ . > '~~~;~t.~..~ ; r
~ :'-`Y 'y~" day of C~~~i~/ ~ 1970 ~ •
~ . ~ '~T'
y= - . ' ~
~~q ~ ~ ~
- ~
. . ~
,~~i~lic State o£ Flo da at Large ~
.,~;~~t~~
: "~'f.sfan Expiree: ~ x - ~
~ ' TNIf :Nf{AUME?iT WAS P1IEPARED V ~~W
~ RALPli 0. WILSON. ST. LUCIE COUNTY O R
GOURTMOUSE. F7. PIERCE. FLORIDA dOOK
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