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FILED AIiO REC R !
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~1lEC~0 VER F
E T C~T
NOTICE OF LIEN
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STATE OF FLORIDA -
COiJNTY OF ST. LUCIE ~ +wv~~
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 held or after acquired by
(Name of
Brooks Mayweather pf ~2902 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;
Hospital: Fort Pierce Memorial ~
Date Admitted: 1/26/71
i
Date Discharged: 2~2~~1 ±
Number of Days; 7 at $ 56.81 per day= $ 397.67 ;
Less credits None
' Amount of Lien $ 397.67
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t DATED at Fort Pierce, Florida, this z~ day of
~
~ May ~ 1971 .
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.
(S ignature)
~ County Attorney ~
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(Title) '
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SWORN to and subscribed before me
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~ ```~~~1~~A~311111/1~~r
this ~ day of 19~. . 4:~8F~-~~'`-.i;
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Notary Public State of Florida a Large ;.~y~:,6~~ tU61=~,<<'.'.r~~~ _
~ NOTART MlQUC, STATE Of FIORlOA AT U1ROE . : t : ~ .
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~ M CO[iUi11 S S lOt1 EX i re s: ~ COMhtl~~tON EXPIRES JAN. 21, 1974 ~
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TMI! INSTRUMENT WAS PREPARE~ E3Y r
RALPH B. WILSON. ST. LUCIE COUNTY Q~R ~
COURTNOUSE. FT. PIERCE, FLORIDA ~
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