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NOTICB OF LISN
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STATE OF FLORIDA
202899
CQUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of ~lorida. Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amou~t of Five Hundred Thirty aqd 70/100
530.70 ) Dollars against any real or personal property or
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interest therein presently held or after acquired by
(Name of
James Evers of 1109 Apple St., Fort Piecce, Florida
Indigent or Recipient) ~ (Addzesa) .
for money directly spent by St. Lucie County for the care, hospital-
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ization, sustenance or mai.ntenance of said Indigent or Recipient ~
of welfare assistance, as follows: ~ ~ ~
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~ Hospital: Fort Pierce Memorial
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' Date Admitted: '10/19/70 ~ ~ ' . . = ~ ~ - ~
. Date Discharged= 10%~9~70 ~ ' =
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Number of Days:~-,at 53.07 per day= $ 530.70 .
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~ Less credits None
E ~ Amount of Lien 530.70
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' DATED at Fort Pierce, Florida, this 7'~ day of
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- January , 19 ~ 1 . . • ~
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~ , (S qnature) .
~ County Attorney.
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~ ~j •',•~'"~Sl~~ ~to and subscribed before me , _
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~ ~ th~~ ~ day of - , 19,~,. ' ~ ~
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~ Notary Public State of Florida Large
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~ My Commission Bacpiree:
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~ Tfil! INlTRUMENT WAS PREPARED EY ~ ^w~
RALPH 9. WILSON. ST. LUCIE COUNTY R ~
GOURTHOU6E. FT. PIERGE, FLORIDA
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