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fILEO AMO P.ECOI~~E~
iT.IUC~E COUMTY
~ Q~~ ROCE RCUIT COURT
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~ NOTiCE OF LiEN c~EaK c
RECORD VERIf IEO...~~
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STATE OF FLORIDA ~~s~
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 ~
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Commissioners of St. Lucie County, Florida, claims a lien in the ~
amount of Six Hundred Eighty-one and 72/100 ~
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681.72 ) Dollars against any real or personal property or ~
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interest therein presently held or after acc~iired by ;
~ (Name of ~
Wadell Mosley pf 2210•Avenue I, Fort Pierce, Florida s
Indigent or Recipient) (Address)
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for money directly spent by St. Lucie County for the care, hospital- t
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ization, sustenance or maintenance of said Indigent nr Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial ~
~ Date Admitted: ~/30/71
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~ Date Discharged: 6/11/71 .
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~ Number of Days: 12 at $ 56.81 per day= $ 681.72
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~ Less credits None
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k 681.72 ~
~ f Amount of Lien $ _
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DATED at Fort Pierce, Florida, this ZJ1?0 day of
~ December , 19 71 .
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~ (Signature)
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County Attorney
_ (Title)
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~ SWORN to and subscribed before me ~
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- this 7uC~ day of , 19 7/ . ~ _ . '
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' Notary Public State f Flori at Large E
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My Commission Expirea : ~ 7~ ~ • _ _ i
TMid INSTRUMF~7T Y.'AS PR~~APFD BY
RALPH B. WILSON. ST. ~~_~G'~ G^UtiTY 19? ~
"ti:~ COURTHOUSE. F7. PIERC~. FLORiDA dI~U~ PRGE V~
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