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. NOTICS OF LI$N
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STATS OP' FLORIDA . ~~5~
COUNTY OF ST. LUCIS
NOTICS is hereby qiven that purauant to the provieions of -
Chapter 65-2181, Lawa of Florida. Acts of 1965, the Board of.County
Caomissioners of St. Lucie County, Florida, claims a lien in the
amount of T~?o Hundred Twenty-one and 60/00
221.60 Dollara against any real or peraonal property
or ~interest therein presently held or afi~er acquired by
(I~ame of
Lewis Glover pf 1244 Ave. D, Fort Pierce, Florida
. Indigent or Recipient) (Address) -
for money directly spent by St. Lucie County for the care, hospital- ~
ization, sustenance or maintenance of~said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
_ Date Admitted: '1/15/70 _ -
Date Discharqed: ~~20/70 ~
E Nwnber of Days:~ at $ 44.32 per day = $ 221.60
j .
F . Less credits None
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~ Amoun~ of I,ien $ 221.60
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DATSD at Fort Pierce, Florida, this ~ day of
Movember - , 1970. ~ - ~
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.
- (Si ature) .
County Attorney
(Title)
~
y, ~ • . •
1~,to and subscribed before me ~
.
' ~ • . % _y~
. , ~ > ' day of J~ . 1970.
_ ~ ~:-,ti--: .
c~ s ~ ~ -
a
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~;~;,~jF~ , ry Public State of Flori at Larqe
' ~OTAR'? Mt~1fC, STAIE OF FIARIDA AT lJ1A~E ~
1Ky Cc~aainiaefon Expiress ~~MMISSION EXPIRES JAN. Zi. 1974
TNI• INlTRtJMtMT WA! /Il[rARtD SY ~i~
~PH WILdON, ST. LUCIE~O UNTY "
~~OY/tTiiOUSS. Ff. PIERCi, lrLpl110A
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