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I~OTICE OF LIEN RECORO YERRFIED C~ .
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STATE UF FLORIDA `~32851
COUNTY OF S T. LL~C IE ' ;
vOTICE 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 Six Hundred Twenty-two and 27/100
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622.27 ) Dollars against any real or personal property or `
interest therein presently neld or after acquired by -
Carl Grimsle (Name of
Y of 508 N. 14th St., Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or cnaintenance of said Indigent or Recipient
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of weZfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 3/24/72
Date Discharged: 4/4/72
Number of Days: 11 at $ 56.57 per day= $ 622.27 ?
i
e
None ~
Less credits '
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Amount of Lien $ 622/2~ {
DATED at Fort Pierce, Florida, this day of
July ~ lg 72 .
.
• l
~ (S igna ture)
Coun~~ttorney ~
(Title)
~
S n•ORti to ar?d subscribed before me
this ~ day of , 19~. ;
. ~ , I •
Notar1 Public State of F orida a Larqe
lIdTART PUBIIC. S'fATE 8F"FLORlDA AT lAR6E ,
YY COt.1MISSiOt+1 EXPtRES 1AN. 21, 1974 ; -
;dy Co:nmission Expires : BOJ=DED tHRU fRED W. OtEStEIHORST
RA•LPH 6. WILSON. STSLUCtE COUfYTY 0 R z~4 ~ -r=°-'"'`'~,
COURTHOUSE, F7', PIERCE. FLORIDA g00K PAGE
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