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NOTICE OF LIEN CIERK CtRCU1T COUItLb~
11ECORd vERlf IEO
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STATE OF FLORIDA ~"75
CdIJNTY 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 Fifty-three and 0~/100
53.07 ) Dollars against any real or personal property or
interest therein presently he~d or after acquired by
(Name of
Delia Butts of 1223 Avenue G, 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 I"lemorial
Date Admitted: 11/16/70
Date Discharged: 11/17/70
- Number of Days: 1 at $ 53.0? per day= $ 53.07
E Less credits None
F
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~ Amount of Lien $ 53.07
E
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~ DA2ED at Fort Pierce, Florida, this day of ~
May ~ lg 71 .
(Signaturej (
County Attorney
(Title)
~
~
~ SwORN to and subscribed before me
~ this ~ day of ~ , 19 7/. „ . ~
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Notary public State f Flor~ ~~t~~aoP:~~ At ut~4t :--r:~*~~~''~`
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IIOfoY1t - •
~ ~ COM{G'SS~ON EX¢IltE3 !~?*i. 21. 1974 ~ M•~
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My Commission Expires: ia:o`~ ~~RU ~~:~o w. D:c.s~.::•. s~ ~~:;PU L'~j ~C.
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_ tMl• INRRUM[MT WAS r1t[tAfl[D ~r ~ '
AALPM WILSON. ST. LUGIE COUtJTY ~~~'~ir,,,~..,~~~~~`~.
- GOVltTNOUiE. FT. PIERGE. PLORIDA _
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