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NOTICE OF LIEN aFr~~'•' ~~E' `'F~'
.Mti 11 9 38 AN' ~t
STATE OF FLORIDA ~~5~~
COUN'i'Y OF ST. LUCIE
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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 Six Hundred Eighty-one and 72/100
681.72 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Kenneth Campbell of 709.S. 33rd St., Fort Pierce, Florida
Indiqent or Recipient) (Address)
for mor.ey directly spent by St. Lucie County for the care, hospital-
~ ization, sustenance or maintenance of said Indigent or Recipient
~
~ -
= of welfare assistance, as follows:
E Hospital: Fort Pierce Memorial
€
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~ Date Admitted: 9/7/71
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~ Date Discharged: 9/19/71
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a Number of Days: 12 at $ 56.81 per day= $ 681.72
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~ Less credits None
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~ Amount of Lien $ 681.72
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DATED at Fort Pierce, Florida, this k~~ day of
~ ~
~r 19 7 2
.7an~ary .
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~ .
F'T
~
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:St
(S gnature)
s?= County Attorney
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t:i
(Title)
- SWORN to and subscribed before me
this day of ~ , 19~. .
' ~ ~
Notary Public State ~f Florida Large
7y~ . , ~ .
My Commission Expires: / - ~ ,
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~~y' TH.g ~ ~V{/11~~ ,INK~~
RA~PH B WrL~v . . r
s COURTHOUSE. t r. `~,EH~~. FLOR1,pA
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