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2G118
IVarr 19 11 ~ ~M ~1
STJ~TS OF FLORIDA
~ 2C~1185
COUNTY OF ST. LUCIS _
. NOTICg ie hereby qiven that purauant to the proviefone of .
Chapter 65-2181, Lawe of Florida, Acte of 1965, the Board of County
• Commissionere of St. Lucie County, Florida, claime a lien in the
~ ~ amount of ~o Hundred Sixty-five and 92/100
265.92 Dollars aqainst any real or pereonal propert~
or interest therein presently held or.after acquired by -
. (Name of
; George Gore of 507 N. 21st St., Fort Pierce, Florida
Indiqent or Recipient) (Address)
~ .
~
i ~
for money directly epent by St. Lucfe Co~unty for the care, hospital-
~ izatian, sustenance or maintenance of eaid Indiqent or Recipient
j of welfare assietance, ae follows:
( _ ,
.
Hospitals Fort Pierce Memorial
4/21/70 ~
~ Date Admitted: ~
~ Date Diec2iarqed: 5/27/70
l Nua?ber of Daya:~_ at $ 44_32 per day = $ 265.92 .
~ . Leae credits None
i1 • Amoua~ of Lien $ 265.92
r~ .
E~
DATSD at Fort Pierce, Florida, this ~ day of
~
~ November , 19?0.
.
. .
(Si ature) ~
~ County Attorney
(Title)
~
~i~~tNillt.~~~r,' . -
~a subecribed before ~
R , I '
i~"~~ ~-a ~ ~ i _
~'l ` , ~
' • ~
- . r•~ aay of . 1970.
--.i , -
• ~ - ~'~G~,:~a~,;,~;;~
.
•
~ ' ~fc`~Stats of Fiorida a rqe
,.I~ril~µ~ N:a1'~t~,!4~(: ~ .
Ky'~'Coaaaaission Sxpires: ~ 73
• TN1~ INfTRUMENT WAS rREPARED BY Q~~~
~RA~1LPH B. WILSOrNT. ST. Ll1GiE C'~l!n` a~~~w
WVRT~'{O~Fr r a. P~ERC.~ F1.11n.r~ •
^y
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