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STe~TE OF FLORZDA
C :u\Tl' O~ ST. LL'CIE ~
~OTICE is heraby given that p~:rsuant to the provisions of
C:~apter G5-2181, Laws of Florida, Acts oz 19b5, the Board of County
Com.^~issioners of St. Lucie County, Florida, claims a lien in the `
ano;:nt of One Hundred Forty-seven and 24/100
147.24 ) Dollars against any real or personal property or
ir.terest therein presently held or after acquired by
(vame of
Agnes Bullard of 1734 School Ct., Ft. Pierce, Florida
Indiyent or Recipient) (Address)
~or r;.or.ey directly spent by St. Lucie County for tnz care, hospital-
iza~i~r:, sustenance or maintenance of said Indigent or Recipient
s
of welfare assistance, as follows:
i
Hospital: Fort Pierce Memorial
; Date Admitted: 6/2/71
~ Date Discharged: 6/6/71
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Numi~er of Days : 4 at $ 56.81~ per day= $ 227. 24
z Less credits 80.00
~ Amount o~ Lien $ 147.24
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~ DATED at Fort Pierce, Florida, this ~i /y~ day of
$
E_
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~ December , 19 71 .
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.
~ (Sig ature)
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_ County Attorney
_ ~ (Title)
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~ SwOR:~ to and su::.scribed before ^,e
t:is ~jvt~ day o~ ~ , 19 7/ + ;
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~ctar~ Pu:~~ic Stute oi Fiorida t Large
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- ~.y ~ ' • _
iJ~~ :~,y Co:~mission Expires /-.Z/~~~ - " `''r ~'~*K.~` _
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- TH~s INBfRU~1FtaT ~NAS PREPARED BY ~ .
RALPH B. WILSON. ST. LUCtc COUNTY •`C •
GOURTHOUSE. F7- PIERGE, F ~
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