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NOTICE OF LIEN ~tf~
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.MN J3 1019 AM'?1
STATE OF FLORIDA 2~~~2
COUNTY OF ST. LUCIE
NOTICE is h~reby given that pursuant to the provisiuns ef
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Luci.e County, Florida, c2aims a Iien in the
amount of Two Hundred Twelve and 28/100
212.2g ) Dollars against any real or personal property or
interest therein presently held or after acquired by
Ernest Fra2ier of 19I0~ Avenue E, Fort(piercef Florida
Indigent or Recipient) (Addressl
tar money directly spent kiy 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
r
` Date Admitted: 11/8/70
E Date Discharged: 11/12/70
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Number of Days: 4 at $ 53.07 per day=. $ 2I2-28
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Less credits None
Amount of Lien $ 212-28
DATED at Fort Pierce, Florida, this ~e~ day of
;
January ~ ~9 72
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.
( gnature)
County Attorney
(Title)
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SWORiv to and subscribed before me
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this " day of ~l,,G~ , 19'~ .
. ~ x
Notary Public State of Florid at Large
My Commission Expires : a/- • :
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n~ra ItJSTRUMF~tT WAe pRFPSRED BY ' '
RALPH 8. WILSON. ~.T :_ur:;~ ;-•,~..tir~' $'OOKS~ P~~~1
COURrHpu6E. F'7. piE~cE, F~okiay
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