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2i1~n`,.' ST IUCIC COUNT~ FLA
J ROGEF ~01TAA5
NOTIGE OF LIEN CLEFK C~~i.U1T C4UAT
REGORO YEA~f1E0.~
Jui+ 2~ i2 24 PH'1 I
STATE OF FLORIDA •
21~i
COUI~TY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Co.~ur,issioners of St. Lucie Coun.ty, Florida, claims a lien in the
amount of One Hur.dred Fifty and 43/100
250.43 ) Dollars against any real or personal property or
interest therein presently held or after acquired=b}~
~ (Name of
Abraha~ Green of 435 N. 20th St., Fort Pierce, Florida
Indigent or Recipis~nt) (Address)
for money directly spent by St. Lucie County ~or the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows;
Hospital: Fort Pierce Memorial
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Date Admitted: 3/1/71
Date Discharged: 3/4/71
Number of Days: 3 at $ 56.81 per day= $ 150.43
Less credits None
' Amount of Lien $ 150.43
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DATED at Fort Pierce, Florida, this ~ 7~- day of
June . 19~_-
,
.
- (Si nature)
County Attorney
(Title)
SWORN to and subscribed before me
this day of uL , 19 7/ .
. ~
~ ~
~Totary Public State of Florida Large s~' ~ ~
~~y Carrsnission Expires: E.~c~ s,'•: _
.
TN~S ~NlT1~U7YtF?tT YMS PRF?AREO BY Un~ J~ `
IRALPH B WILSON. ST. LUrtE C:OUNTY
GOURTMOUbE. FT. PIERG~. FI.ORtDA