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NOTICS ~ LIEN ~ OlEllk CIItCpIt OOiiRT~
' ' RECORO YERIRIEO:~.,....,.
N~ 1~ ~ s~ ~!'16
STATS OF FLORIDA 201541
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COUNTY OF ST. LUCIB ~
NOTIGS is here~y qiven that pursuant to the provisions of '
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Chapter 65-2181, Lawa of Florida, Acts of 1965, the Board of County ;
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Canmissionera~of St. Lucie County, Florida, claime a lien in the .
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amount of T~?o Hundred Sixty-five and 35/100 ~
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265.35 ) Dollare aqainst any real or personal property
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or interest therein presently held or after acquired by ~
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(Name Of ;
Louise Knowles of 1004 Avenue.G, Fort Pierce, Florida ,
Indigent or Recipient) ~ (Addressj E
for money directly spent by St. Lucie County for the care, hospital- ~
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ization, sustenance or maintenance of sai,d Indiqent or Recipient ;
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of welfare assistance, as follawa: . ~
Hospital: Fort Pierce Memorial
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Date Admitted: 9/11/70 . ~
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Date Discharged: 9~16%70 `
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. 5 53.07 265.35 ~
Number of Days at $ per day a $ .
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'f Less credita None
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Amoun~ of Lien $ 265.35
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~ DATSD at Fort Pierce, Florida, this day of
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November , 19~0. ~ ~
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(Signature)
County Attorney
(Title) - ~ ~
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iSW~`;to and aubscribed before me
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~ th s e~I ~ day of , .1970.
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. xyl ~~~c State f F~ori at Larqe
~Oi1R1 MISLIC. S1lITE OP iLOftfDl4 At Wl6E ~
MY CUptt~l~SinY £XQ'RES, :AN. 21, 197~
My Commission Expires: ~n~::_~ i.~~:t! Fn:=O r/. ~•:..,~~.••,,,:~r
. . ,~~/-7y -
TNta INSTRUHENT MfAS PRFPA/?~p '.v O~~~
~?t.~ e. w~~soN, sT. ~uc~E c;,;::, : r ~
COiJRTHOU6L'. FT. PIERCE. FWJ'~DA
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