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CIERR C~:GU~7 COURT
NOTICE OF LIEN RECOP~ VEhi~ ~E~ ~ '
JIN+ I~ 101~ AH'7~ ~
STATE OF FLORIDA
222019
COW'i'Y 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 oi 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
Gracie Davis of 1508 N. 16th St., Ft. Pierce, Florida
Indigent or Recipient) (Addres~
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Chawanda Davis ,
minor daughter of said Chawanda Davis
(Relat~onship)
as follvws:
Hospital: Fort Pierce Memorial
Date Admitted: 9/14/71
E 9/23/71
~ Date Discharged: _
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~ Number of Days: 9 at $ 56.81 per day = $ 511.29
Less Credits None
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e
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~ Amoun~ of Lien $ 511.29
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Dated at Fort Pierce, Florida, this ~ day of January~,
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County Attorney
(Title)
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= SWORN to and subscribed before me
th i s~d ay o f~~ lvt~ 9~.
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Notary Pt~blic State of Florid at Large
:4~ My Comcnission Expires : /-v2~ 77`` ~ - . ~
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:;a THI~ INSTRUMEt~T \VAS PR~P4RED EY ~ - ~ ~
RALPH B. WIL.SON. ST LUC1~ COUNTY
COURTHOUSE. FT, pjERCE, PLORIDp ,
°~;R~ 198 F~~E2258 ~
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