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NOTICE OF LIEN AE40~D yf~~~?EO
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STATE OF FLORI DA 2~ i,i
COUNTY OF ST. LUCIE
~OTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, I.aws of Florida, Acts of 1965, the Board of County
Cc?mmissioners of St. Lucie County, Florida, claims a lien in tlle
a~ou+nt of Two Hundred Twenty-seven and 24/100 _
22~•24 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Early Feby of 1510 Avenue E, Fott Pierce, Florida
Indigent or Recipient) (Address)
tor money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or itecipient
of welfare assistance, as follows:
s
Hospital: Fort Pierce Memorial
Date Admitted: 3/28/71
Date Discharged: 4/1/71 .
Number of Days: 4 at $ 56.81 per day= $ 227.2~
Less credits None _
~ Amount of Lien $ 22~•24
DATED at Fort Pierce, Florida, this day of
`T n e , 19 71 .
.
~IV •
(Signature)
County Attorney
(Title)
~
S'nTOR,~; -to ~rrd subscribed before me
this ~ day of , 19~. :
. ~ ~
Notary Pub?ic State f Florid at Large '
My Comr,~ission Expires • oJ/~ ~1r ' ~ ~ ~ -
THIS INSTP.UL1fF:T YJA3 Pp~PAR.O f:Y ~
RALPii B. iNfL :ON. 5t I_'Jr.'F: G 7U: tTY U A ~ _
GOUttTNOUSE. F7. F'ICftGL. FLOK1[iA BQQ~~,{~
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