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232846 '
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A CER ?OITR~~
CLERR CiRCU1T COUIIT ~NOTICS OF LIEN 23284
' RECORO VERIFIE~ ~
,I~ 1 9 io AN'Tt ~
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. ~,ucie County, Florida, claims a lien in the
amount of Ten Hundred Seventy-four and 83/100
1074.83 ) Dollars against any real or personal prop~rty or
i~terest therein presently held or after acquired by
(Name of
John ivory of 510 N. 25th St., Fort 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: Fort Pierce Memorial
Date Admitted: '4~18~~2 ' .
-Date Discharged: 5~~~~? _
Number of Daysz 19_ ~.at $ 56.57 per day= $ 1074.83
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~ Less credits None
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i Amount of Lien $ 1074.83
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DATED at Fort Pierce, Florida, this day of
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July , 19 72. ~
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~ (Si ature)
• County Attorney
~ (Title) ~
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SWORN to and subscribed before me
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this ~day of , 197~. . ;
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Notary Public State of Florida Large ,
NOTIUR PUBLIC. STATE 9f fLORIDA AT UR6E - . _',~~y.;~, .
MY COJ.t~i113S10N EXPIRES JAN. 21, 1974 . J. • ~
Ml/ CO[[1II?18810t1 Expires S ~OHDED THRU FRED w. DIESTEIHORSi -
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THI~•IfISTRUMF.uT \lVAS PREPARED 8Y - ,~~~~%~JSii:=
RALPH B_ WILSON. 5T l.UC1E COUNTY ~
'COURTHOUSE, FT. PIERCE. FLORIDA Tt ~
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