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NOTICS 0[+' LIBN ~'ECORO ttEltJi~tO~..~~
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STATS QF FLORIDA
2q153'~'
COUNTY OF ST. LUCIS ~
NOTICS ia here~y qiven that pureuant to the provisions of
Chapter 65-21g1, Lawe of Florida, Acts of 1965, the Board of County
Commissioners of St. Lu~ie County-, Florida, claims a lien in the
amount of $leven Hundred Fifty-two and 32/100 ~
1,152.32 ~~llars.againet any real or personal property
or interest therein presently held or after acquired by .
(Nam~e of
Luke Blocker of 1102 N. 22nd St., Ft. Pier-ce, 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: ' S/7/69 .
Date Discharqed; 6~2~69
Nwnber of Daye: ~6___ at $ 44.32 per day = $ 1152.32
None ~
Less credits
' 1152.32
' Amoun~ of Lien $ ~ ~
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F DATED at Fort Pierce, Florida, this da?y of
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November , 1970.
. ~
.
(Siqn ture) ~
County Attorney ~
(Title) .
~
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~ . .
~ ~ ';S~~1==to and aubscribed before me
Y j -.:,-vi,l ~ 1970.
.f,~~e.~. day of .
~'y
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•••=:~1~b~p~y~ P~Fic 3tate of Florida t Larqe
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4;,,1,~•~' -!rz~: - ~TARI NidLl~ ~IA1E OF FLORiDA AT UIIl6E
•A~ C,~~6~~OT1 ExpireA i MY ~MMISSION EXWRES IAN. 21. 1974
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TM!• INlMUM[NT WAf IRlIAREC YY B~K~~ '~i~
ItA1.rM 9. WILSON. ST. LUCIE C::. .tY
COYRTMOU6E. !T. PIERCE. FLG~...iA
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