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NOTICE OF LIEN ~ ~c ~ ~ ~ ~t~ _
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206653
STATE OF FLORIDA n
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COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Three Hundred Ninety--seven and 67/100
397.67 ) Dollars against any real or personal property or
interest therein presently hel.d or after acquired by
~ (Name of
James Moore of 431 N. 9th St., 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:
Hospital: Fort Pierce Memorial
Date Admitted: 1/18/71
. Date Discharged: 1/25/71
Number of Days; ~ at $ 56.81 ~r day= $ 397.67
~ Less credits None
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f Amount of Lien $ 397.67
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~ DATED at Fort Pierce, Florida, this oZ.S` day of
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~ March , 19 71 .
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(S gnature)
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~ County Attorney
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SWORI3 to and subscribed i~efore me `
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~ this ~day of ~ Q~~...-~ . 19 7~. J' ~
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Notary Public State o Florida t Large ~'~=~~t'~+`~~~.
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~ NOTAItY rl)BUty S1b1E OF Rf°~DA AT LAkGE
MY tOMMiS:~;!l[1 E::n:~iE3 :~t~i. 21. 1974
~]I COTT1Ii11SSlOt1 Expires: ~"dt~~ 7~ ~:p_,J Ti:RJ Ei._0 W. D.i:;_L't;:-51
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