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. NOTICE OF LZEN *E
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STATE OF FLORIDA
COUNTY OF ST. LUCIE . ~4
NOTICE is hereby give~ 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 Three Hundred Ninety-seven and 67/100
397.67 ) Dollars against any real.or personal property or
interest therein presently held or after acquired by
(Name of
Chapman Green of 126 No. 13th St., Fort Pierce, Florida
Indigen t 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
Date Admitted: -12/4/71
Date Discharged: ~2~11/71
Number of Days: 7 at $ 56.81 per day= $ 397.67
Less credits None •
Amount of Lie~ $ 397•~~
DATED at Fort Pierce, Florida, this day of
April , 19 72 .
. (S gnature)
County Attorney
- (Title)
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DI'; c State of Flo da at Large
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My Gommission Expires : ~ C~pO~M~I
iN~N s~PIRES JAN. 21, 197~
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TMI! IN~TRUM[NT WAf rM!?AR[O OY
; RAL.PH B. WILSON. ST. WGIE COUNTY a~f~ .
~ COURTHOUSE fT. PiERC~ FLORIDA i iGlJl
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