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NOTICE OF LIEN CLEaK CIRCUIT COURT
RECORO YEpIf1E0~..~
~ !!i~ Z5 I ~ PN'71
STATE OF FLORIDA iG? V B S 9 8 ~
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COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of ~
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the s
amount of Five Hundred Eighty-three and 77/100
583.77 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name oE
James !~nderson pg 1217 Avenue L, 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: ~
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Hospital: Fort pierce Memorial
Date Admitted: 11/6/70
Date Discharged: 11/17/70
Number of Days; 11 at $ 53.07 per day= ~ 583.77 .
?
Less credits None
Amount of Lien $ 583.77 t
DATED at Fort Pierce, Florida, this ~,2~'~ day of . _
March ~ ~ 19 71 .
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(Signature)
~
Coun ty Attorney
(Title)
.5WORN4to and subscribed before me
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, ,`~S..L ~ j, ,
~ • ' 399' ' ~ day of ~~c~ , 19 7~.
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:`n••A'~'~p ~utfilic State of lorida at Large •
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~ ^ ^ ~ t . ' ~TARI ?UBLIC, STAiE OF FtOR',DII IIT UR6E
My Commission Expires: '7 f~ ~ COM1?~IS~iCV EX?IRES JAV. 21, 1974
~ONDED iHRU FREO W. DIESIElt10RSi
THIS INSTRUMEN7 WAS PR~PAR£D BY
RALPH B. ~YILSON. ST. L`JGIE COt1(VTY BOOK191 ~ ~v
GOUR7HOU5E. FT. P{ERCE, FLOR:UA
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