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NOTYCE OF ~,IEN A~~~?Ea~ftEO.~....~... 4
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STATE OF FLORIDA
COUNTY OF ST. LUCIE '
NOTTCE 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. Luci~ ~ounty, Florida, claims~a lien in the
amount oE Fifty-six and 81/100 .
36.81 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
Marie Jordan o~ Rt. 1, ~ox 709A, Forat Pierce, Fla.
Indigent or Recipient (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Flayne Dilla~an
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minor son of said Marie Jordan
(Relationship) ~
as- follows :
I~ospital: Fort Pierce Memorial
Date Admitted: 1/14/72
Date Discharqed: 1/15/72 .
Number of Days: 1 at $ 56.81 per day = $~6.81
Less Credi~ts None
Amount of Lien $ 56.81 `
Dated at Fort Pierce, Florida, this day of May ,
19 72 .
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` ( ignature)
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~ County Attorney
- (Title)
SWORN,,to and subscribed before~me
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~~~t~iY~s.;''~' day of ~1 ,~9Zy
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ac_ry.~ ublic State of lorida t Large ~
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. . • . . : . ~ - Iloir+uR l~UC, stAlE oF ftanaA IIT uR~ •
I~i COmmission Ex ires; w~MMIS310N EXPlRES JAM. 21. 1974 ~
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THI~j IttS~^' F''~ ' -
qNLPH B. WILS~:1. 5T. L~~C~- G.UNTY
(',OURTHOUSE. FT• P~ERGE. FLORlDA ,
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