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NOTICE OF LIEN RfC~R; v~F ~ Eo.~,~
~ 13 10 29 AM '72
STATE OF FLORIDA
COUNTY OF ST. LUCIE 2%~~29
NOTICE is hereby given that pursuant to the provisions of
~
Chapter 65-2181, Laws of Florida, Acts of 1965, the 8oard of County
Commissioners of St. Lucie Courity, Florida, claims a lien in the
amount of One Hu:~dred ~irteen and 62/100
. ~
113.62 ) Dollars against any real or personal property or '
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interest therein presently held or after acquired by
Arthur Hancock of 13th & Ave. I, Ft. 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:
` Hospital; Fort Pierce Memorial
~
i Date Admitted: ~/24/71 ~
a
~ Date Discharged; ~/26/71
vumber of Days: 2 at $ 5~'-81 per day= $ 113.62'
~ Less credits None
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Amount of Lien $ 113.62
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DATED at Fort Pierce, Florida, th is /a ~ day of
~ January , 19 ~2 .
;
.
.
. (Si nature)
E
` County Attorney
(Title) ~
SWORN to and subscribed before me
this /~2 ~ day of , 19'~. ~ ~~f~
;
, • • ~
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Notary Public State of Flor' a at Large
~
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My Commission Expires : 7~ . - ~
THIS INBTRUMENS K'AS PRFaI,RED CY 'tr'~, . -
RALPH B. WII~SON. 5T LUCIc C~Ut~JTY SCiOK~~
GOURTHOU6E FT. PIERGE. FL..ORIDA