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NOTICE OF LIEN CUtCtpT ~ ~
ItEC011011ER1f1E ;i.~,.~,y.
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STATE OF FLORIDA '
COU\TY OF ST, LUCIE `
~OTICE is hereby given that pursuant to the provisions of
Chanter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Corimissioners of St. Lucie County, Florida, claims a lien in the
amount of Eleven Hundred Thirty-six and 20/100
1136.20 ) Dollars against any real or personal property or
interest tnerein presently held or after acquired by ~
Luna Shar ton (Name of ;
P of 220~ So. 33rd St., Fort Pierce, Fla. ~
Indigent or Recipient) (Address) - j
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for money directly spent by St. Lucie County for the care, hospital- ;
ization, sustenance ar maintenance of said Indigent or Recipient ~
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of wel~are assistance, as follows: _
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Hospital; Fort Pierce Memorial ~
Date Adm:~tted: 10/19/71
Date Discharged: 11/08.71
A?umaer of Days : 20 at $ 56.81 per day= $ 1136. 20
Less credits None .
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Amount of Lien $ 1136.20 ~
DATED at Fort Pierce, Florida, this day of
July , I9 72.
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• (S gnature)
County Attornev
~Title)
Stti'O~ to and subscribed before me
t:~:~.s - day of , 19~. _
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Votary Public State of Florida at Large
IIOTARf Mt~tIC, STATE 9F fLOR1DJ1 AT IARCE .
i~y Co~::.*nissior, Expires: ~ e0N0E9SiHRU fRED ~
p~ESTELMpRST 1974 =
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, THIS I~JS"~•'1~-•.~' ~vAS PREPARED ~r DppK~~ `/qC ~
RAL.PH B. WIL.,r-,~:;. ~T ! tiClc COUNTY
GOURTtIOUSE, FT. PIcRGE, FLORIDA
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