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NOTiCE OF LZEN ~ECO~o vci
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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 Hoard of County
Commissioners of St. Lucie County, Florida, claima a lien in,the
amount of . One Hundred Thirteen and 62/100
113.62 ) Dollars against any real or personal property or
: ~
interest therein presently held or after acquired by ~
' (Name of
Emory Shiver of Rt. 3, Box 442X, Fort Pierce, Fla.
Indigent or Recipient) (Address)
for money directly spent by 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 's,.
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Date Admitted: 1~29~~2
Date Discharged: Y~32~~2
Number of Days: 2 at $ 56.81 per day= $ 113.62
' Less credits None
~ ~ Amount of Lien $ 113.62 ' '
DATED at Fort Pierce, Florida, this ~ day of ~
May , ~1972 .
,
( ignature)~ -
. - County Attorney
(Title) ~ .
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:~%:Sa10R1~ #~b, ;and subscribed before me ~
at}iis day of , 19 ~ y
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Notary Public State of Florida Large •
Nd?~"f Mtel~. STAiE Of FLARtDA AT lARiE
' M COtM11SSlOD EX ires ; ~ COPIMtSSiON EXP~R~ ~AN. u. ~974
Y P eo~m T~eu ~En o~~st~+cssr
TM~~ ~WSTRUMENT ~NAS PREPARE~ dY
RALPH B. WIL.50N. st. ~o~~,r eo~x~. ~2~
~ GOURTHOUGE. EL PlFRCE. EIARtDd
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