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2G~.rJa~ NOTICE OL~' LIEN RE~O E
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STATB OF FLORIDA
2C'1533
COUNTY OF ST. LUCI$~
NOTICE ia hereby qiven that pursuant to the provisfor?s of
Chapter 65-2181, Laws of Florida,_Acta of 1965, the Board of County
Commissionera of St. Lucie Caunty, Florida, claia~8 a lien in the
amount of Four Hundred Eighty-seven and 52/100 ~
487.52 Dollars against any real or personal property
or interest therein presently held or after acquired by
~ (Nam~e of.
A. J. Simpson pf Rt. 4, Box 700, Ft. Pierce, Florida
Indigent or Recipient) (AddreBS)
for money directly apent by St. Lucie Caunty for the care, hospital-
ization, sustenance or maintenance of said Indiqent or Recipient
of welfare assistance, as followss
Hospital: Fort Pierce Memorial
Date AcLnitted: 6/14/70 ~ ~
Date Discharqeds 6/25/70
Number of paye:_ at $ 44.32 per ~y a $ 487.52
Less credits None-
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t Amount of Lien $ 487.52
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~E DATBD at Fort Pierce, Florida, this day of
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![ovember , 1970.
.
(Signature)
~ County Attorney
~ (Title)
,~-~~SWOR~i' :~o and eubscribed before me -
: ,`~~u,;~i1i+!T17:I//% ,j~ ~
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:;~,..••~",~9~ day of , 1970.
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•~'{=f r~PubLic State of Flori at Larqe
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.•.'t'~...~ Y` ~TART MIdL1C„ STA1E Oi fLO~EfDA AT UTA6E
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~#~A•"'~.~~Y`~ Ily COMMISSION EXPIRES JAN. 21, 1974
• ~~~;•CommS:saion Bacpiree: ~o~ t~u ~a~ w. a~~oRSr
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<,-;t~r- s,: .
~ t!1lTRUM[HT WAf rRfrAREO bY
r~?t~.~ s, w~woH, 6T. LUCIE COUNTY
~ . COURTHOU6E. FT. PIERCB. ; L.OitIDA
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