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SFATE 0~ FLORIQA • #
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COUN7Y OF ST. LUCIE `
NOTICE is hereby given that pursuant to the provisior~s of
Chapter fi5-218i, Larrs of Florida, Acts of 1965. the Board of County Com-
missioners of St. Lucie County, Florida, clain~s a lien in the amount of
7 _ " ' ~
s~-flallars (3_c~r~r1 )
. ;
against any real or persona prcperty or interest tTierein presently held
or after acquired by ~ ~
Na of Reci ent
o f . / ~ .J ~
Address
for money expended by St. Lucie County for the care, suatenance or n~ain-
~
tenance of said recipient of vrelfare assistance, ss fo2laws~
Nurs ing Nome: 8
1?+le 1 fa re Ncme: _ "
Medical t ~ ~ 9- ~ ~ ~ ~ ~t ~ ~ -
Physician`s Services~ ~ ` - ~
Food: ~
' Ott~er ~ ~
00
,
roraL 3
Less cr~ait$ $
AMIOUNT OF LIFN . . . . . . . . . . . a .335
MTED at Fort Pierce, Florida, this day of ,19~.
~ -
. . . Signatures t// ~ ~
. "t~~~-f~~~: ' Executiv Director ,
- St. Lucie County Welfare Associatio~ ~
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SWORN to and subscribed before me ST UC [ C~UNTY FIA,
RGGc~ p"~~TRAS 1~
this ~ day of , 9~. CLERc ;CUii COURT L ;
~IEG~Rf1 ~'rr r~~-p M ~
.......~..i.r ;
t~ot Fu ic State of Flo at Large ~ lo 26 !1N ~11
INy Canmiss ion expires ~ ~-1lp 2~9'~
~a~x ~~8 ~27g~
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