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~ 1~.~U~cER P4iTRAs ~T
NOTICE OF LIEN C`~~K ~,kCUlt a0U ~
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STATE OF FLORIDA
COUNTY OF ST. T.TTCIE
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 TM?o 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
James Moore of 431 N. 5th St., Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
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ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital; Fort Pierce Memorial ~
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i Date Admitted: 3/19/71
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~ Date Discharged: 3/24/71 ~
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E Number of Days: 5 at $ 56.81 per day= $ 284.05
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Less credits None
~ Amount of Lien $ 284-05
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:x DATED at Fort Pierce, Florida, this ,Z N _ day of
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~ December ~ 19 71 `
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(S ignature)
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County Attorney `
(Title) ~
SWORN to and subscribed before me
this ~~day of , 19~. ~ ~
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Notary Public Stat of Flo da at Large
My Commission Expire~: -o~/- - ~
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- THld INSTRU?.!r~:? Y;~~ PR~P,nED EY r
RAI.PH B. WIL50"J. 5? t-`~ C~J~.TY
COURTHOUSE FT. PIERGc, F1~1~
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