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NOTICE OF LIEN ~f ~1?f+~1?~~~
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STATE OF FLORIDA ~8~5 4
COUNTY OF ST. LUCIE -
NOTICE is hereby give~ 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 Four Aundred Seventy-seven and 63/100
477.63 ) Dollars a4ainst any real or personal pro~erty or f
interest therein presently held or after acquired by
(Name of
Bertha B. Weilbacher of '107 S. 31st St., Fort Pierce, Florida {
,
Indigent or Recipient) (Address) 's
' 3
. 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: 10/22/70
Date Discharged: 10/31/70
Number of Days: 9 at $ 53.07 per day=' $ 477.63
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Less credits None ~
Amount of Lien $ 477.63 ~
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~ E at Fort Pierce Florida, this day of
~ DAT D .
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~ ~Y , 19 71 •
( ignature) ~
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~ County Attorney
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~ SWORN to and subscribed before me •~~c~~ j''~~~~~`'~~
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~ this day of , 19~. =;t2; ~ . -
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~ Notary Public State of Flori at Large ~~~I`~ 5~~,' ~ '
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~ My Commission Expires 2 IfY COMMISS'AN EXPIRES ;AN. Zl, 1074
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GUURTHOUSE. FT. Fi::icC:~. FLUn~~A
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