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f:~EQ ?w:' RECOROfO .
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NOTICE OF-LZEN REC4~~ vE~if ~EO
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STATE OF FLORIDA
~ - 2111 ~ ~
COUNTY OF ST. LUCIE '
NOTICL•' is h~rel~y c~iven that pursuant to thc provisions ot '
Chapter 65-2181, Laws of Florida, Acts of 1965, the Foard of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount o~ Seven Hundred Ninety-five and 3~/100 .
795.34 ) Dollars against any real or personal property or
interest thcrcin presently held or atter acquired by
+ (Name of
Bo Jordan of I210 Avenue F, Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient a
of welfare assistance, as follows:
Hospital; Fort Pierce Memorial
Date Admitted~ 2~28~~1
Date Discharged: 3/14/71
Number of Days: 14 at $56.81 per day= $ 795.34
Less credits None
' Amount of Lien $ 795.34
.
l
DATED at Fort Pierce, Florida, this ~ day of
June , 19~1 . -
• - ~
' (Signature)
County Attorney
~ (TitZe)
SWORN to and subscribed before me
.r..~,
this day Of , 19 7~ .
s~- _ , . - .
.ictary Punlic State of Florida Large • '
~iy Commission Expires: o~/ ~ ~
TM~f INfTHUMENT WAS rREPAREO DY 'I ~ ~
RALPH 9. WILSON. ST. LUCIE C~UNTY O R -
COURTt70U5E. FT. PIERGE, FLORIUA ~