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ST.IUC~E COUNiY F A
ROCER P01tRAS
CLERIt C!?CUIt COUQT
. NOTICE OF LIEN AEC~RO vEr.if~E~ .
~ IZ 9 38 AH'~t
STATE OF FLORIDA 2219~35
COUNTY OF ST. L1tCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County ~
r
rnmmiccic~nPrs of St. I.ucie County, Florida, claims a lien in the
$
amount of Three Hundred Ninety-seven and 67/100 ~
`s
}
397.67 ) Dollars against any real or personal property or
i
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 mainterance of said Indigent or Recipient
I
; of welfare assistance, as follows:
~ .
= Hospital: Fort Pierce Memorial t
~
~
g Date Admitted- 8~2~~~1 1
Y 7
~ Date Discharged: 9/3/71
R
~ 7 56.81 397.67
- Number of Days: at $ per day= $ _
s ~
~ Non e ~
Less credits
~
Amount of Lien $ 397.67
. ~
i
~ ~ F
DATED at Fort Pierce, Florida, this day of
~ January , 19 72.
,~rt
: .
.
(S gnature)
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County Attorney
(Title) ~
: ~
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~ ~
SWORN to and subscribed before me ¢
f
i
th i s~~ da y of , 19~a. _
!
~
~ ~ ' ~
Notary Public State of Florid t Large ~
' My Commission Expires: 7 ~ ~ ~
/ . - ~
- _ i
~ TM~• ~NlTRUN[NT WAS rRl1~AREO BY " ~ r1 R ~
RALPH B. WIl.50N. 57 LUr;~ C~UNTY SOQK198 ~214?
"~3 COUI~THOUSE, FT. PIERC;E, FLORIDA