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NOTICB OE~' LIBN OLERR CIRCWT OOYR
~ECOao vERiF~EO
~ 5 S ~o ~M'11
STATS OF FLORIDA
20289'7
CO~JNTY OF ST. LUCIB
NOTIC$ ia hereby given that pursuant to the provisions of
Chapter 65-2181, I,aws of Florida, Acts of 1965, the Board of County
. ~
~ Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Three Hundred Seventy-one and 49/100 `
r
~ ~
. • ,
; 371.49 ) Dollars against any real or personal property or
I ~ ' `
~ interest therein presently held or after acquired by
~ . (Name of
~ Cynthia M. Bailey of Rt. 3, Box 353, Fort Pierce, Florida
~
~ Indigent or Recipient) (Addzess) .
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~ for money directly spent by St. Lucie County for the care, hospital-
, .
ization, sustenance or mai.ntenance of said Indigent or Recipient
of welfare assistance, as follows:
~ . Hospital: Fort Pierce Memorial .
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, , . , . . . . .
Date Admitted: ~ 10/17/70 . ' ~ ' •
, ~ . Date DiscY}arc~ed; 1Q/~4~'j0.~ ' _ = :
Number of Days: ~ :.at ~ 53~07 per day- $ 371.49 .
. . . ~ . ~ . - - • r-~ ~ ' f
. .J`:
~ ' ~ ~ Less credits None ~
!j ~ ~ . , ~ 371.49 ~
; , . Amount of Lien t
.
„ .
. . ~
DATSD at Fort Pierce, Florida, this day of .
~ . January 19 ~ l . . • . - . - ~ _ ,
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: ~ . ~ ~
~ ~ . ' ~ ~ - ~ •
~ . - '
~ ~ (S gnature) ,
~ .
~ ~ ~ County Attorney
~ . 1.'
(Title) , . ~
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~ r . . i -~z. e'~ Q ~T~ .
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~ ~.;;~;~~a6~ Ri~II to aad subscribed before me . ~.~t~"~.~~~~,
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~ ,_s,' ya .~~J~ ' ~ r i • -
f~~ ~ - t _ ~ ~E''-
a -'~~`;~is~~ day of 4. . 19~.
~ • 40' _
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~ ~F ~ ~ ~ ~ ` C~ - " '
~ N~t:~~ Pu~slic State of Florida Large _
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C,o~aiesion Sxpiree: ~'v2 -
•~~,d,:i. . . .
~ ~ TMIS IN/TRUMEHT WAS PREPAREO BY O R~~
~ RALPH 9. WILSON. ST. LUCIE COUNTY
~ COURTHOUBE. FT. PIERCE. FLORIDA
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