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STATS OF FLO1tIDA
COUNTY OF ST. Lvci$ 2~5~
NOTIC$ ie~hereby qiven that purauant to the provieione of
Chapter 65-2181, Laws of Florida,-Acta of 1965, the Board of County
Canmissioners of St. Lucie County, Florida, claims a lien in the . ~
amount of Three Hundred Fifty-four and 56/100
354.56 Dollare againet any real or peraonal property
or intereat therein presently held or after acquired by
(Name of
Eloise Thomas of 201 N. Sth St., Ft. Pierce, Florida
=z
. Indigent or Recipient) (Address)
_
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indiqent or Recipfent
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
~te Aa~?ittea: a/3o/~0 -
Date Discharqed: 9~~~~~
Number of Daya:~ at $ 44.32 ~r ~y ~ $ 354.56
~ Less credits None
~ - -
~ Amoun~ of Lien $ 354.56 .
~ ~
DATED at l~ort Pierce, Florida, this ~s ~ day of
November , 1970. ~
. . ~
- (Si tura
County Attorney
(Title) ~
~
. - - .
~;to= and subscribed before me ~ .
• ~S ,:~'~ii''t~
l.~~~~T~, day of , 1970. ~
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,~~i~' ~:~ublic State of Flori at Larqe
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j' ~ i~ ;`r ~fA~ MiBUC. SfATE OF iLORiD~ AT LIIRCE
~ Mt~'~ Ccamis~ion Expires: ~~~~ISSION EXPIRES 1AN. 1974
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WI~~N ~T. LUCtE C~Kry
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