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NOTICS QF LIEDi QLEItR C~~tCWT QOIMT
R~OOItO YEIl~F1E0..~.~• .
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STATE OF FLORIDA
COUNTY OF ST. LUCIE r' ~i~i
NOTICE is hereby given that pursuant to the provisions of ,
Chapter 65-2181, Laws of F2orida, Acta of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Fifty-three and 07/100
53.07 ) Dollars against any real or personal property or
.
interest therein presently held or after acquired by
(Name _ of
Roosevelt Dudley of 1907 Avenue E, Fort Pierce, 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:
Fiospital: Fort Pierce Memorial
Date Admitted: 11/12/70
Date Discharged; 11/13/70
, Number of Days: 1 at $ 53.07 per day= $ 53.07
i • Less credits None
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i Amount of Lien 53.07
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g DATED at Fort Pierce, Florida, thia day of `
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January , 19 71. _
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~ (Si nature)
• County Attorney
~ . (Title) .
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~ SWORN to and subscribed before me
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~ this ~ ~ day of , 19~.
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,a, s~•
~ y., P~blic State of Flori at Larqe '
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- . ~ •O ~ 'seion Expires: 7j~ ~~a • . .
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~ ~-'~MI! INfrRUMlNT 1NA3 PREPARED DV
~ ••'•+~~a~. ;~EALPH B. w~LSOH, sT. ~uc~E Cour~i~Y '
~ ' ~E4~'~~~`, COURTMOU6E FT. PIERGE. FLORIDA ' ~
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