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It4CER PO~MAS
NOTICE ~ OF LIEN RECORO YERRFIQp C~RT
,~a. l 9 i~ AN'~Z
STATE OF FLORIDA 2'~' 865
COU~TY OF ST. LUCIE ~
:~OTICE is hereby given that pursuant to the provisions of ,
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board af County
Commissioners of St, Lucie County, Florida, claims a lien in the
acnount ot Five Hundred Fifteen and 41/100
515.41 ) Dollars against any real or persorial property or
interest therein presently held or after acquired by
Apt. B (Name of
Mary Anderson of 1209 Ave. Q, Fort Pierce, Fla. _
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
af we2fare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 2/14/72 "
Date Discharged: 2~2~~~2
' vumber of Days: 13 at $ 56.57 per day= $ 735.41
~
~ ~ 220.00 ~
t Less.credits,
i
~ Amount of Lien $ 515.41
DATED at Fort Pierce, Florida, this (D ~ day of
July ~ lyZ2
. (Si nature)
County Attorney
~ ~ (Title)
1
~
~ STr:OR~~ to and subscribed before me
t: is day of , 19~. ~ .
' . i1 ~ ,
.~ctary Public State of F orida a Large _
~ NOTARI PUPUG STAiE AP FLORlDA AT lAR6E -
MY COMMfSS10N EXPIRES JAN. 21. 1974
, Y` CGI;iR11SS10(1 Expires : lWIDED THRU FHED W. DIESTELHORS~
THIS INS~'RUME"~T V1'AS PREPARED BY
RALPH B. WII_5~':. ST. LUGIE COUNTY ~ R~O~ ~ ~
COURTHOUSE. FT. PIERCE. FLORIDA BOOI(
~
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