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NOTICE OF ~LIEN CtER~c Cc"tCUtT t01MT
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STATE OF FLORIDA
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CWNTY 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
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Five Hundred Eighteen and 10/100
518.10 ) Dollars against any real or personal property or
interest therein presently held or after acquired by ;
~ (Name of ~
Levant Starr of 913 N. 17th St., Fort Pierce, Florida 3
Indigent or Recipient) (Address) ;
a
~
for money directly spent by St. Lucie County for the care, hospital- '
;
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: 9/12/71
€ Date Discharged: 9/22/~1
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Less credits 50.00 ~
~
~ Amount of Lien $ 518.10
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DATED at Fort Pierce, Florida, this day of
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~ January ~ lg ~2.
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Y
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(S ' nature)
~ County Attorney f
(Title)
SWORN to and subscribed before me
_ this 1~ ~ ~iay of , 19
- ~ - ~ , i
Notary Public State of Florida Large -
- ~
My Commission Expires : _ ~
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- TH~S iNSTp >I r ~.•rc c~ -~D C"i
; RALPH B. Y? L~ l.'. ~ T1/ + BOOK
; COURTHOUSc, FT. Yf~FtC~, Fa,.VK~:~.~
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