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STATS OF FLORIDA 2C.~,7,7
CO[JNTY OF ST. LUCIS • ~
' NOTICS is hereby qiven that pursuant to the proviaiona of ~
Chapter 65-2181. Laws of Florida, Acts of 1965, the Board of County
Canmissioners of~St. Lucie Caunty, Florida, claims a lien in the
~amount of Forty~four and 32/100
44.32 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
. (Name of -
Jamea Martin - pf 1312 Atlanti~ Ave., Fort Pierce,
Indigent or Recipient) (Addressj F ori a.
for money. directly spent. by St. I,ucie Caunty for the care, hospital- ~
ization, sustenance or maintenance of eaid Indiqent or Recipient
of welfare assistance, as follows:
8ospital: Fort Pierce Memorial
Date Admitted: .
Date Discl~arqeds .
Nwnber of DayBS= at $ 44.32 per day a $ 44.32
~ Less credita ~ None ~
; • •
; A~aauAt of Lien ~ 44.32 .
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~ DATSD at Fort Pierce, Florida, thie • day of
~ -
November , 1970.
. -
.
(Sf ature)
Connty Attorney
~ (Titlej
~ ~ . ~
~ _
.,..i?if ~~;r,•.;~ ' :
_ SW ~ ~
~b~`~E_subscribed before me
~•l.~F~_,_ ~
~ "~t~`~,,:. =~clay of i~7 , 1970
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NQ~~~~~ dc State ot Florida at rge
,~~s•t~ .
My Com~afe~ion Sxpiree: ~O / ~ 73
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~~RT~V~g. FT. PIERCE. RLQRIDA ' .
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