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A r~oTica o~ ~isr~ uaowr c~
2t 118~ti ~a"~~~~. od.-
~ ~19 IInM~'11 -
STATS OF FLORIDA ~ 2~f1182
COUNTY OF ST. LUCI$
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~ NOTiC$ ie hereby given that pursuant to the provisione of
Chapter - 65-2181, Laws of Florida, ~1ets of 1965. ~the Board of County
Canmisaionere of St. Lucie County, Florida, claime a lien in the
~ amount of ~ Three Hundred Fifty-four and 56/100
354.56 ) Dollars aqafnat any real or peraonal property
or intereat therein preaently held or after acquired by ~
~ (Na?n?e of
Mosea Phillips of
505 N. 13th ;t., Fort Pierce, Florida
Indigent or Recipient) ~ tAddrees)
~for money directly spent by St. Lucie Caunty for tha. care, hospital-
ization, suatenance or maintena~ce of eaid Indigent or Recipient
of welfare assietance, ae foilowa:
Hospital: Fort•Pierce Memorial
Date Admitted: . 7/1/70 ~
Date Discharqed: 7/9/70
Nwnber of Daye s 8 at ~ 44. 32 . p~r ~y : $ 354. 56
Lese credits None ~
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E Amoup~ of Lien $ 354.~6 -
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DATBD at Fort Pierce, Florida, thie •i dny of
November , 19?0. .
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• (Si ature) ~
Cour~ty Attorney
(Title)
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~N~4,RD~s• rr' •~~'-,~tibscribed before ~
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~ . _ .fi~}~,~0~~.; ~ ~ay of ~ I~ . , 19'70 .
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No 8.t.~?te of Florida Larqs -
I•N:1i ' '
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~ My Caa~aissfcn Sxpire~: 73
• W,~ ~~,p~ i88 ~1i74
RALPH B. WILSON. ST. LUCIE C~::..:
OOIiRTHOU6E FT. PIEftC~ RLQit..,,~ •
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