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?IlEO A~D ~tCORQE~ ~
' :T. ~UC~C COUNTY F~ . .
ROCEp FO~tRA= `
~ NOTICE OF LIEN CIERK CtKCWt COIMT .ir • -
~ECOpO vER~F?EO.~.~.~.~..~
' O~c 3 ~ s4 ~M'11
STATE OF FLORIDA
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, r^lorida, c2aims a lien in the
amount of Seven Hundred Ninety-five and 34/100
795.34 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Melvin Jones pf 711 N. 27th St., 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
of welfare assistance, as follows: -
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~ Fort Pierce Memorial
Hospital:
; .
;
~ Date Aclmitted: 6/4/71
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~ Date Discharged: 6/18/71
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? Number of Days: 14 at $ 56.81 per day= $ 795.34
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~ Less credits None
~ f Amount of Lien $ 795.34
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2
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~ DATED at Fort Pierce, Florida, this ~w/d day of
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~ December . 19 71. .
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= (S gnature)
= County Attorney
- (Title)
~~'i SwORN to and subscribed before me ~ ~
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' this day of , 19 . , ~
_ ;
~ . ; _
- Notary Public State of Flor' a at Large
'_J t
::=a ~
, A ~ ~ +
= My Commission Expires: ~ v2/ ~~7~ t
THIB ItJiTRUMF~.T WAR ?R~ARED B1I • , . .
RAI.PH B. WlLSON. ST. LUC!E COUhTY
COURTHOIiSE. FT. PIERCE. FLORIDA