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NClrIC~ OF LIEN t
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STATE OF FLORIDA
C0~1NTY OF ST. LUCIE ~+12~~~
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NOTICE is hereby given that pursuant to the provisions of
C~apter 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 Six Hundred Eighty-ane and 72/100
681•~2 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Jewel Grier pi i06 Devenshire Dr., Ft. Pierce, Fla.
I~digent 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 assistanc:e, as follows:
I
Hospital: Fort pierce Memorial ~
Date Admitted• 5/14/71 ~
Date Discharged: 5/26/71
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€ Numoer of Days: 12 at $ 56.81 per day= $ 681.72
j None
~ Less credits
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~ Amovnt of Lien $ 681.72
DAT~D at Fort Pierce, Florida, this day of
~ ,Tuly ~ lg 71
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(S gnature)
~ Coun ty Attarney
~ (Title)
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~ S?~ORI~ to and subscribed before me
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~ this ~.3~ - day of , 19~.
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~ tiotary Public State of Florida at arge
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N.y Comr-~ission Expires : /~J -
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