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NOTICE OF LIEN
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STATE OF FLORIDA ~
COKJNTY 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. Lucie County, Florida,~ claims a lien in the
amount of One Hundred Thirteen and 62/100 ~
113.62 ) Dollars against any real or personal property or ~
i
,
interest therein presently held or after acquired by f
(Name of
Charles Newman of 2446 N. 43rd St, Ft. pierce, ~la.
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 wel£are assistance, as follows: _
• Hospital: Fort Pierce Memorial
Date Admitted: 1/16/72 . • 4
1/18/72 E
Date Discharged:
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 , 19 7 2 . ~
( gnature)
- County Attorney
(Title) .
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~~+ti~i,'t6c;, and subscribed before me y
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:~~':t~i~;~~ day of , 19~Y. }
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Notary Public State of Florida t Large
IIOiIIA'1 NBUC. Si11TE OF Ft.ORiDA AT lJWGE
YY C01AMl~SSION EXP~RE8 JAN. 21. 1974
My Commission Expires: ~nm i~au ~n rr. a~~
~NSTRUMENT WAS PREpARED Sy
W~LSON. ST. LUCIE COUNTY ~
p~~. FLp~ Y~ -
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