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ST ~JUNT~ fU
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~,.1120`~ NJTICE OF LIE~I ctEt~~ i~~~ciup Cou,,,_,
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_ STA i'E OF FLORI DA 2:112U~
COUNTY 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
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of One Hundred Sevent}- and 43~100 -
" 170.43 ) Dollars against any real or personal property or
interest therein presently held or after acr~uired by _
(Name of
Mobile Ashley of 707 No. 20th St., Ft. Pierce, Fla.
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Yndigent or Recipient
of welfare assistance, ss follows: ~
Hospital: Fort Pierce MemoYial
Date Admitted: 2/23/71
- Date Discharged: 2/26/71
Number of Days: 3 at $~6•gl per day= $ 170.43 .
' Less credits None
~ Amount of Lien $ 170.43
! -
DATED at Fort Pierce, Florida, this vtf~ ~ day of
June ~ 1g71 . ~
:
(S gnature)
County Attorney
(Title)
~
S4r'OFu~ to and subscribed before me
tr.is day of , 19~. ry
~C . . -
tiotary Public State of Flor' at Large '
Ky Commission Expires: . 01~ '
TH~s INSTFUMEtiT ~tJAS PrCPARED 6Y - -
RAI.PH B. W(~SON ST LVC:: C~~tItdTY
Caw~R~HOUSE. Ft. PI~FtGE:, FL;;~iscLA
_ _-,~;4.-. . _ _