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fILEO AN~ RECOPOED '
2198S5 gT.IUCtE COUNTY FlA• a
ROCER P4~jRAS ~ \
C~EaK C?aCU~T COUnT ~v
~ \OTZCE Or L.E\ RECOROYEa1f1E0~~'
3 a 54 ~+•1~
S :AT~ QF FLORI'?~'~ I~~~i+.70J~
Cv~\T1 OF S ~ . LUCIE
\OTICE is ?~ereby given that p~;rsuant to the provisions of
C:,apter 65-2181, Laws of Florida, Acts of 19b5, the Board of ~ounty
Co^~issior.ers of St. Lucie County, Florida, claims a lizr. ir. the .
~
a:noun ~ of One Hundred Thirteen and 62/100
113.62 ) Doliars against ar.y real or personal property or
i
i:,terest therein presently held or a~ter acquired by
(Name of
Dupre Bullard of 1734 School Court, Ft. Pierce, Florida
;rdiyent or Recipient) (Address)
rar mor,ey dirzctly spent by St. Lucie County for the care, hospital-
ization, suster.ance or maintenance of said Indigent or Recipient
o~ w2l~are assistance, as follows: ~
Hospital: Fort Pierce Memorial
; Date Admitted: 7/11/71
:
~
~ Date Discharged: ~~13/71
_
~ \umber of Days : 2 at $ 56.81~ per day= $ 113. 62
~
~ Less credits None
a Amount of Lien $ 113.62
DATED at Fort Pierce, Florida, this ,a/y~ day of
; December , lg 71 ,
~
'
~ •
~ ~iV .
_ (Sigr.ature)
4r County Attorney
~ ~ (Title)
S?~'OR:~ to ar.~ subscribec before me
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t:~ i s~~day a~ ?.c~cvrnfiL~/ . 19 7~ . - ~
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yti~ ~ ~ . ~
- tiotar.~ P:::~i~c St~te c~ 'r':oric at Large '
:!y Co.~..:,~ssion Expires / 7S~
s' TNIt tN6TRUMFt7? l':AS PREPb.PFD EY
RALPM B. w~~so~ 5T ~~~i~ ~~-%'~TY
COURTMOUSE. F7. P?ERGE. FLORtDA
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