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212~`71. _ _ :~~EO~?~o RECa~
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\O`: ICE OF LIE\ OCEitK CIRCUIi GO~~ t~ •
IIECORO 1fERIFlE6~
Ju~ 13 3 ei ~!1'11 ~1
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s~a:~ oF r:_.o~T~a
co;;aT~~ o.~ s L'u'CIE ;~12~~71
~OT?CE is her~b,~ given tha~ pursuan~ to t:~e prflvisior.s o~
Cnapt~r o5-2181, Laws ot Florida, Acts ot 1905, the Board of County
Coa~.:rissio:~ars of St. Lucie County, Florida, clair,.s a lien in the
a:iount of Ten Hundred Twenty-twa and 58/100
1022.58 ) Do2iars against any real or persona~ property or
ir.teres~ t:zrein presently held or arter acquir~d by
(van~z of
Bobby Lee Graydon of 1708 N. llth St., Apt. B, Ft. Pierce,Fla
Ir.digent or Recipient) (Address)
~or :r.or.ey directly sp~nt ny St. Lucie County ~or t:ie care, hospitai-
izatior., sustenance or maintenar.ce of sain Ir.digent or Recipient
o~ wel~are assistance, as :ollows:
Hospital- Fort Pierce Memarial
Date Admitted- S/6/71
Date Discharged: 5/24/71
I ~Iur,wer o~ Days ; 18 at $ 56.81 p~r nay= $ l, 022. 58
I
~ Less credits None
~ < T - 1,022.58
~ Ar.iount o~ .,ier. $
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DATED at r ort Pierce, Florida, t:^.is ~Z.~n~--- day o~
Juiy , i9 71 .
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