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~ NOTICS OF LIEN RECORO v~
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STATE OF FLORIDA
22846i
CaUNTY OF ST. LUCIE
NOTICE is hereby given that pu'rsuant to the provisions of '
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. 7=ucie County, Florida, claims a lien in- the
amount of Fourteen Hundred Seventy-seven and 06/100
14'77.06 ) Dollars against any real or.,personal property or
interest therein presently held or after acquired by
(Name of -
Ella Mae Davis of 903B N. 32nd St., Ft. Pierce, Florida
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; gort Pierce Memorial
Date Admitted: 1~~~~/~1
Date Discharged: 12/13/71
Number of Days: 26 at $ 56.81 per day= $ 1477.06
Less credits None
Amount of Lien 1477.06
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' DATED at Fort Pierce, Florida, this day of
i -
i April ~ lg 72.
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(S gnature)
f ,
; County Attorney
E (Title)
: SWORN, t'o` and subscribed before me
; . ;:.;:.=.`_j; ~ Y
~ - ~ ";~i~' _ day of , 19 ~ .
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` -•"~~Aio~~ ' Public State of Flori at Large
'~'s
MtAR1 MlBL~. STATE OF FLORIDA AT WlCE
E ~ t • r-'' ~ MY COMMISSION EXPiRES JAN. 21, 1974
: M~ C~sstdl~ Expi res : w. o~E::; ~orsr
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~ THI{ INiTRUMENT 1NA! PREPARED 9Y
4 RALPH 9. WILSON, ST. LUCIE COUNTY
{ COtJRTHOUBE, FT. PIERCL. FLORIDA g~~
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