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NOTICE OF LIEN 1lECOAO YEI~t F EO ~~f
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STATE OF FLORIDA
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COUNTY OF ST. LUCIE
NOTICE is hereby give~ that~pursuant to the provisio~s of
Chapter 65--2181. Laws of Florida, Acts of 1965, the Board of County
-Commissioners of St. Lucie County, Florida, claitns a lien in the
amount of Nine Hundred Twenty=five and 77/100
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92S•~~ ) Dollars against any real or persona2 property or y
interest therein presently held or after acquired by i
Betty Moss pf 105 Camlot Dr., FtCN P e ce, Fla. • ~
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Indiqent or Recipient) ~ ~ (Address~
for money directly spent by St. Lucie County for the care, hospital-
ization~, sustenance or maintenance of Clovis Moss
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minor son of said Betty Moss • .
(Relationship)
as follows:
Hospital: Fort Pierce Memorial
Date Admitted; 1/6/72
Date Discharged: 1~23/72
Number of Days: 17 at $ 56.81 per day $ 965.7~
- Less Credits 40.00
. Amount of Lien ~ g25 • 7~
Dated at Fort Pierce, Florida, this .L~ day of May ~
19 7 2 . ~ - ~
. ~~1./ /
( ignature)
_ - Countv Attornev
(Title)
SWOAN.:~cY aad subscribed before me
~h~~~~' . . day of , ~97 ~
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Nq.~u~-::}P1sb~13c State of Florida t Large ~ •
• NOTA/f r9~LICr SiAIE 9F FLORID~ IR L~E •
N COitiRtIS810r1 E ires : ~MMISStON D(PIREg J11N. 21. 197~ ~
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Tf+i• ~NStnuMd+T w~s ~~~as~ sl/ ~ '
; RALPH B. WILSUN. ST. LUCIE COUNTY
GOURTHOU6E. FT. PIERCE FLORlW?
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