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NOTICE OF LIEN Afc`1Rp y~ k~F~Er.
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STATE OF FLORIDA
222Q31
COUI~ITY OF ST. LUCIE ~
NOTICE is hereby given that pursuant to the provisions ot
Chapter 65-2181, Laws or Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of One Hundred Seventy and 43/100
170.43 ) Dollars against 3ny real or personai property or
interest therein presently held or after acquired by
(Name of
Vernelle EIIis of 2208 Avenue G, 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:
fiospital- Fort pierce Memorial
~ Date Admitted: 12/14/70
~
~ Date Discharged: 12/17/70
E
Number of Days: 3 at $ 56.81 per day= $ 170.43•
Less credits None
Amount of Lien $ 170.43
~
DATED at Fort Pierce, Florida, this ~ day of
January ~ 19 72
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(S gnature)
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County Attorney #
(Title) ;
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SWORI~; to and subscribed before me ~
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t:~is ~ day of ~ 19~. ~
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~otary Public State of F3orid t Large ~
N,y Commission Expires: ~'a2~ /T ~ _ - #
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THI• INYTRUMFNT ~L'AS PRFFqRfD BY ~ .
RALPH B. WILSON. ST Lt;C1E COti^!TY . ~Q~~~ ~M~^~
COURTNOUSE, F7. YIEHGE, FLORiDq f•"' ~1
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