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NOTICE OF LIEN ~ECOr,D vER~c~EO,._._-- •
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STATE OF FLORIDA 2i 12U2
COUNTY OF ST. LUCIB .
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts af 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
-~ameunt of Ten Hundred Seventy-nine and 39/100
1079.39 ) Dollars against any real or personal property or ~
;
interest therein presently held or after acquired by
(Name of
Rosa Mae Thomas pf ~1207 Avenue F, Fort Pierce, Florid~ ~
Indigent or Recipientj (Address) -
. for money directiy spent by St. Lucie County fQr the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 3/18/71 `
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Date Discharqed: 4/6/71
Number of Days: 19 at $ 56.81 per day= $ 1079.3~
~ Less credits None
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Amount of Lien $ 1079_39
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DATED at Fort Pierce, Florida, this .L_~~~ day of
June , 19 71 .
.
~ ~ ~
' (S gnature)
r
County Attorney ~
(Title)
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~ SwORr~ to and subscribed before me
~
tnis .1 ~ day of , 19 71. ' ~
_ ~
. S' ' '
~ot~ry Ublic State of lorida a Large =
.:y Commission Expires: _ .Z/ ~ _ ~ '
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THIC IN`TRUMC':T K'14 Pft'_^:ns;~ .
RAI.PH B. ~YiL50N ;T i~_:::1 = C~ JtiTY
COURTHOUSE. F7. PfLI2GC. Fl-GftlliA a~~~
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