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_ NOTICE OF LIEN ~ Rt e v R?~i
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STATE OF FLORIDA ~
COUNTY 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 Three Hundred Forty and 86/100
340.86 ) Dollars against any real.or personal property or
interest therein presently held or after acquired by
- (Name of
Early Lee Feby of 1510 Avenue E, Fort pierce, Florida
Indigent or Recipient) ~ (Address) -
€or 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: 12/2/71
Date Discharged: 12/8/71
Number of Days: 6 at $ 56.81 per day= $ 340.86
Less credits None
Amount of Lien $ 340.85
DATED at Fort Pierce, Florida, this day of
April ~ lg 72. _ ,
. (Si nature)
County Attorney
(Title)
"SWORN to and subscribed before me ~
. ...~s~''~. ~ day of , 19~. '
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~~-•K~a~y'-Public State of Florid at Large
- s` ~TARI /UdtiC, STATE Cf FLORlDA AT WbCf ~
~ MY COMMl8SlON EXPiRES JAN. 2t, 1974 ~
I 1+~~; Co~q1~~-`Lkpires : n~u f~ w. wESr~T
'4 ~~f INfTRUMENT ~1/AS PREPAREO BY -
MLPH B. WILSON. $T. WGE COUNTy
; , CON!lTHOUSE FT, p1ERCB. FL,ORIDA
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