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NOTICE OF LIEN ~RT.KF~+•~~~0 i
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STATE OF FLORIDA
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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
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Commissioners of St. Lucie County, Florida, claims a lien in the
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amount of Six Hundred Eighty-one and 72/100 ~
681.72 ) Dollars against any real or personal property or ~
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interest therein presently held or after acquired by
(Name of
Virginia Carver of 108 S. 31st St., Fort 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 ~
of welfare assistance, as follows:
Hospi~al: Fort Pierce Memorial
~ Date Admitted: 9/21/71
;
s Date Discharged: 10/3/71
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Number of Days: 12 at $ 56.81 per day= $ 681.72
~ Less credits None
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~ 681.72
Amount of Lien $
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~ DATED at Fort Pierce, Florida, this day of
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~ ~ January , 19 ~2.
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(Si nature)
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County Attorney
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(Title)
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= SWORN to and subscribed before me ~
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this day of , 19~~. ~
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= Notary Public State of lorida Large ~ ~
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My Commission Expires : 77`-'
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THI• INlTRUMEtVT {NA4 PRErARED sY ~':~•t•,. I~
RALPH B. WILSON. ST LUCIE COUNTY ' BO~K~VV PACE~~~
COURTHOUSE, FT. PIERCE, FLORIDA ~ y}
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