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NOTICI3 OF LIEN ~p~0~11E~~~iKO~ 1
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STATE OF FLORIDA 2~~~
COUNTY OF ST. LUCIE
NOTICE 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. Lueie County, Florida, claims a lien in the
amount of One Hundred Thirteen and 14/100
113.14 ) Dollars against any real or personal property or
interest therein presently beld or after acquired by _
" (Name of
~~~oQ g»ilard af 1734 School Ct., Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care,~hospital-
ization, sustena::ce or maintenance of said Indigent or Recipient ~
of welfare assistance, as follows: •
~ ~ Hospital: Fort Pierce Memorial _
Date Aclmitted: 2/16/72
. Date Discharged: 2/18/~2
Number of Days: 2 ~at $ 56.57 per day= $ 113.14
Less credits None ~
Amount of Lien $ 1I3.14
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DATED at For.t Pierce, Florida, this ~f/ day of •
May , 19 ~ 2 . . ~L
~ ( ignature)
• ~ County Attorney
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~ ~-SWOgIG:~$ and subscribed before me ~ . ~
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~ thi~`, day of ~ , 19 7.
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Notery Public State of Florida t Large
~Ntr rosuG sr~ ot f~omo~ ~r ua~ -
My Commission Ex ires S ~~~MISSION EXPIRES lAN. 2i~ 1974
p aonoEO n~au Fam r. o~~srEU~ar~sr
TM,s ~HSrnuH~ w~a rwrr~~ero st?
, RALPH B. 1NILSON. ST. LlfC1E COUNTY ~I~M~ ~
C0IJRTHOUSF~ FT, p~FRC~ FLORIDA ~
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