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232843 i~~l~ANO R';~Q~~, ~ G
114CE~~~OIT~A= u1. ` ~
OIERK CIRCUIT COdlri ~ NOTICE OF LIEN
REOOR~ YfR1i1EG~...~.~~
1 8 io ~M'71 ° 23~843
STATE OF FLORIDA ~
COUNTY OF ST. LUCIE
NOTICE is herPby 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 Two Hundred Eighty-two and 85/100
282•85 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
! Eunice Smith of 3002 Avenue F, Fort Pierce, Florida
! Indigent or Recipient) - (Address)
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~ 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: 2/11/72 ~
Date Discharged::2/16/72 .'y
Number of Days:~,at-$ 56.57 per day= $ 282.85
~ Less credits None
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f Amount of Lien $ 282.85
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g DATED at Fort Pierce, Florida, this day of
~ July , 19 72.
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• . ( ignature)
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' County Attorney
~ (Title) -
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SWORN to and subscribed before me .
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~ this ~ day of , 19'/~ ~ : ~s . -
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Notary Public State of F orida at g~~ ,
~ AQT~RY PUBUC. TE a~LOR~TIA IiT I.ARGE - . ' '
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:AN. 21. 1974 ° '
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MY CORIITl18810I1 Expires S 80~:0~ i~RU fitf~l W. D'E~jJ'~~liJ~ C'l••~Y•
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YFIIS 1NSTRUME~:7 l'»5 PR'cPARFD IIY ~ 20~ p~Gf ~ ~
~ RALPH B. ~Y!L~7~• ~•T. LL•CSL CCU~lTY gOOK .
COURTHOUSE. FT. PtE~iGE, FLORIDA _ ~
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