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AOCER P01«t
~ NOTICE OF LIEN t,lFilK C1RGWi
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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, Florida, claims a lien in the '
amount of TWO Hundred Eighty-four and 05/100
284.05 ) Dollars against any real or personal property or
interest therein presently held or after acquired by +
(Name of
Willie Dinnard of 1107 N. 16th St., Fort Pierce, Florida
Indigent or Recipient) (Address)
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for money directly spent by St. Lucie County for the care, hospital- 3
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f
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
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Date Admitted: 2/6/71
~ Date Discharged: 2/11/71
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_ Number of Days: 5 at $ 56.81 per day= $ 284.05
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~ Less credits None
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f Amount of Lien $ 284.05
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DATED at Fort Pierce, Florida, this ~~y10 day of
~ December ~ 197~ , n;
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~ County Attorney
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SWORN to and subscribed before me ~
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- this aZ day of ~ . 19~• . ~
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Notary Public State of Florida Large ~
. My Commission Expires : / ~-7T , : ~4~ -
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TNIS tNSTRUN.«iT \:AS PRFPAR~D EY '
RALPH B. WILSCV. ST LUC`~ ~.'~t-tiTY ' ~2y~
COURTNOUSE. FT. PiERGc, f OR DA ~
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