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F1LE0 AN^ RECO~OEO s
2112(~O ST lUC1E COUNIY flA.
NOTICE OF LIEN A~~CEn *~~TR~' t~
CIERK C~r~t11T COURT ~
RECOnO YE?~+t If 0
,lu~ 2~ 12 24 PK'T I- ~ }
STATE OF FLORIDA - +
2i12U0 '
~
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
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Chapter 65-2181, Laws of Florida, Acts of 1965, the-3oard of County
Commissionzrs of St. Lueie County, Florida, claims a lien in the
,amount of Seven Hundred Thirty-eight and 53/100
738.53 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Hillery Rohn of 337 Dixieland Dr., Ft. Pierce, Fla.
Indigent or Recipient) ~(Address)
tor money directly spent by St. Lucie County for the c3rc:, hospital-
iz3tion, sustenance or maintenance of said Ir,digent or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial ~
Date Admitted: 3/9/71
Date Discharged: 3/22/71
% N~mber of Days: 13 at $ Sb.81 per day= $ 738.53
Less credits None
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~ Amount of Lien $ 738.53 ;
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k DATED at Fort Pierce, Florida, this ~y~ day of
f _
June , 19 71 . . ~
(S igna ture)•
County Attorney
, (Title) ~
SwORN to and subscribed be~ore ~ne
ti:is ~ ~ day of , 19 7~ . " " ' .
- Notary Public State of Florida at arge ~ ~ '
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~ My Commissior. Expires: / ~
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RALPM B WIL50N. ST LtiCtE CO'JfvTY
COl.URTHOUSE. F?. PfEFtGE. FLORIUA U R
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