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H.I~jGE CGt1~ • ~
219~'73 AoGfa a
~ Nc7TICE OF LIEN ~ C~EAK URC~t `
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STATE OF FLORIDA
~~.~'73
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
x
Commissioners of St. Lucie County, Fiorida, claims a lien in the
amount of Three Hundred Forty and 86/100
340.86 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Charlie Mae Sandifer of 2401 Ave. G, 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 Recipient
f
of welfare assistance, as follows:
~ Hospital: Fort Pierce Memorial
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Date Aclmitted: 6/17/71
= 6/23/71 -
; Date Discharged: ~
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` Number of Days: 6 at $ 56.81 per day= $ 340.86
s
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` Less credits None
>
~ Amount of Lien $ 340.86
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" DATED at Fort Pierce, Florida, this ~/v0 day of
~ December ~ 19 71 .
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~ J ;
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(Signature)
~
County Attorney
(Title)
:-r
SWORN to and subscribed before me
this day of ~ , 19~. ~
.
. ,
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" Notary Public State of Flori at Large -
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My Commission Expires : /
~ 7y~- ~ : -
TMI, INR'rP:'\~F~:T ~!'Ig ap-nq;~rD EY -
_ RALPH B. Wt:.S:a'. _i_'^.'~ C:'.: i~TY 8~~~~ q
~ COURTHOU~SE. F7. F'icRGE. FLC:`clDq aoa =
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