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NOTICE OF LIEN ~~~c~c •~t~ ~~ca
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STATE OF FLORIDA
COUNTY OF ST. LUCIE ~~i
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 Eleven and 29/100
511.29 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
J. C. Lurry pf 433 N. 12th St., Fort Pierce, Flori3a
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
of welfare assistance, as follows: I
Hospital: Fort Pierce Memorial ~
~ 9/12/71 ~
F Date Admitted: ~
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Date Discharged: 9/21/71 ~
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s Number of Days: 9 at $ 56.81 per day= $ 511.29 ~
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; Less credits None ~
~ . Amount of Lien $ 511.29 ~
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~ DATED at Fort Pierce, Florida, this day of ¢
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~ January ~ 19 72 £
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(Si aturej ;
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County Attorney ~
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" SWORN to and subscrib d before me ~
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_ this ~ day of l<it , 19~~'.. ;
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_ Notary Public State of Florida Large _ ~
~a My Commission Expires: / _ - ~
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- -:.,s ~t.,S~r _ ~r DYYO~i~ /MY~~~
RALPH B. W?LSO!.~. ,,<s Par~~,R~p ~v
CCURTHOl35E, ST' LUCIE COUNrY
_ FT. PIERCE, FLU~:;,,A
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