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STAT$ OF FLORIDA ~152,~
COUNTY OF ST. LUCI$
~ NOTICS ia hereby qiven tha?t pursuant to the provisions of
,
Chapter 65-2181, Lawa of Florida, Acta of 1965, the Board of County
Cammisaioners of St. Lucie County, Florida, claims a lien in the .
amount of ~ree Hundred Sixteen and 16/100
~
316.16 ) Dollare against any real~or personal property
or i~nterest therein presently held br after acquired by
(Name of
Robert Dravton of 1005 N. 32nd St., Ft. Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
;
ization, sustenance or_main~enance of said Indiqent or Recipient
of welfare assistance, as followa: ~
t
Hospital: Fort Pierce Memorial ' ~ '
~
Date Admitted: 7/18/70 - •
Date Discharged: ~~31/70 ;
~ ~ ~
Number of Days:~ at $ 44.32 ~r ~y ~ 316.16 '
- Less credita None
AmouAt of Lien $ 316.16
4
~ DATED at Fort Pierce, Florida, this day of
~ November . . ~
- , 19?0.
- ,
.
.
(Si ature) ~
- County Attorney
(Title)
~
~ .
~ M~~~ ~ to and subscribed before me ~
~ ~ ,
~ ~ .
ft , ~ ~ day of 19~0.
. ~y ~ ,
: ~ ;D
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~~-~~'~p Public State of Flori at Larqe
.
~TA~? r11dtIC~ fTATE Of flOR1pA AT L~R6E ~
~'~~Ccmmia~ion Bxpirea: ~ ~~ISSION EXPIRES 1AN. i9~4
7MIf INiTRUMEfIT ~A/AS pNEPARED t,, •
O0IJRTMON~~ PIERCE,EpLORIDA
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