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STATE OF FLORIDA 2~~~
COUNTY OF ST. LUCIE .
NOTICE is liereby given that pursuant to the prOvisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
c:~mmissioners of St. Lucie County, Florida, ~iaims a lien in the
amount of Forty Six Hundred One and 61/100
4601.61 )~llars agai~st any real or personal property or
interest therein presently held or after~acquired by
(Name of
Pearline Favors of 514 N. 18th St., Fort Pierce, Florida
Indigent or Recipient) (Add~Cess) . •
for money directly spent_ by St. Lucie County far the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
. -
- Hospital: Fort Pierce Memorial
Date Admitted: 9/30/~1 .
Date Discharged: 12/20/71
Number of Days: al at $ 56•gI per day= ~ $ 4601.61 ~
Less credits None
Amount of Lien $ 4601.61
~ DATED at Fort Pierce, Florida, this day of
May ~ 19 72 ~
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(S ' gnaturej
• - CountyAttorney ~ ~
(Title) .
ti~L$WO~i~ to and subscribed before me
j '3~ " . .
~ . ..this . ~ ~ day of , 197'~ ~ _
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'~i•, ~ot~ry ,~blic State of lorida a Large
. wOTART rilBilt, STRiE QF ftAaiDA AT t~E
i Yr CAtdtAiSS10N EXPIRES JAN. 21, 197~
1KI/ COIIItG18810lI Expires S ~ fRED M. D~E;~IELtiORST
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