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STATS OF FLORIDA
CO~JNTY OF ST. I.UCI$ ~ ~
NOTICS is here~y qiven that purauant to the provisions of
Chapter 65-2181,.Lawe of Florida, Acts of 1965, the Board of County
Co~nmissioners of St. Lucie County, Florida, claims a lien in the ~
amount of Z'M?o Hundred Twelve and 28/100 '
212•28 ) Dollars againet any real or personal property
or interest therein presently held or after acquired by .
(Name of
James Anderson of 1217 Avenue L, Fort Pierce, Florida
Indigent or Recipient) ~ (Addressj .
for money directly spent by St. Lucie Caunty for the care, hospital-
ization, sustenance or maintenance of eaid Indigant or Recip-ient
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of welfare assistance, as follows:
~ Hospital: Fort Pierce Memorial
Date Admitted: 8/22/70 ~
Date Discharqed: 8/26/70
; Nwnber of Days at $ 53.07 ~r ~y a $ 212. 28
~ Less credits None
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~ Amoun~. of Liea $ 212.28 -
. DATED at Fort Pierce, Florida, this 1~ ~ day of
November 1970. ~
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~ (Si ture) ~
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~ County Attorney ~
(Title) ~
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° `~:.=~WQ~t~-~o and subscribed before me
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~li~;b'~ ~`day of , 1970. .
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~.•`t•N"vt~ry - Public State f Flori at Larqe ~
~TARr /IntfC~ STAiE OF iLQlttDA AT UIR6E
My Caamiasion Expires: ~~M~~~~ON EXW.RE~ JAN. 21, 1974
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TMI• iNfTRUMENT WAS rREPAREO BY
COURTHOU6E. FT. PIERCE. FLORlOA ~1~
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