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NOTICB OF LIEN •
1~r l 8 ~2 ~M'~~
STATE ~OF FLORIDA
COUNTY OF ST. LUCIE
~ NOTICE is t~ereby given that pursuant to the provisions of
C?~apter 65-2181, Laws or Florida, Acts of 1965, the Board of County
Commissioners of St. Luc'ie County. Florida, claims a lien in the
amount of One Hundred Seventy and 43/100
170.43 ) Dollars a ainst an real or ~
g y personal property or
interest therein presently held or after ac~uired by
Louisa I~loble (Name of
Y of 505 N. 23rd St., Fort Pierce, Florida
Indigent or Recipient) ~ (Addressl
for money directly spent by St. Lucie County for the care, hospital-
,
ization, sustenance or maintenance of Joclyn Rene Mobley
.
minor daughter of said Louisa Mobley.
~ (Relationship)
as follawst ~
~ Hospital; Fort Pierce Memorial ~
Date Admitted: 1/5/72
Date Discharged: 1/8/72
Number of Days:~ at $ 56_ 81 per day = $ 170.43
• Less Credits None
Amount of Lien $ 170.43 ~
Dated at Fort Pierce, Florida, this ~ day of April , ~
19 72 . _
~ .
( ignature) -
Countv Attornev
(Title) ~
SwORN.to and subscribed before me ~
~ ~y';~i~~c.. day of ~9 7~.
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~'~Na~~~ ~ ~irc State of lorida Larqe ~
~ ~rr~t? raei~ sr~~ or Fto~a ~r u+~r
f ` a, w COMb11SSION EXPIREa JAN. 21, 1974 •
1Ky~Commission Expires: ~ n„~ s,~, W~.~..
- - ww~ ELNQii~i
THis IN=TRUM~NT ~[yAS PREPARED BY
I RALPH B. WILSON, ST. LUGE COUNTY '
; COURTHOUSE, FT. PIERC~ FLpRIDA Q~~~
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