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~ NOTICE OF LIEN C~E~~ ~~^CUtT CO~I~f ~ .
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STATE OF FLORIDA '
CO[JNTY OF ST. T,TrCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of Countp
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Seven Hundred Thirty-eight and 53/100
738.53 ) Dollars against any real or personal property or
interest therein pre~ently held or after acquired by
(Name of
Isaac Johnson of 812 N. 17th St., Ft. 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 Recipien~
of welfare assistance, as foliows:
Ho~pital- Fort Pierce Memorial
Date Admitted: ~~28~~1
~ Date Discharged: 8/10/71
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Number of Days: 13 at $ 56.g1 per day= $ 738.53
Less credits None
; f- Amount of Lien $ 738.53
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DATED at Fort Pierce, Florida, this ,~i NO day of
_ December ~ 1g71
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(Signature) ;
-:f
County Attorney
- (Title)
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SwORN to and subscribed before me
:
_ th i s~ik,~ da y of 19~. , r~`'' '
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_ Notary Public State of Flori at Large ~
My Commission Expires: / ~/-~7T_ ' . '
- THIf INQTRUMcNT ~vpe pRFFARFD eV
RALPH B. WILSOI~. S? L-i:CiE COt'^;TY +
COURTHOU5E. FT. PI~RGE. FLGR:~A E~i;~ ~g7 ~19gi ~
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