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234566 -
NOTICE OF LIEN
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STATE OF FLORIDA ~
COUI~TY OF ST. LUCIE
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rOTICE is hereby givei~ that pursuant~to the provisions of ~
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Chapter G5-2181, Laws of Florida, Acts of 1965, the Board of f
County Commissioners of St. Lucie County, Florida, claims a lien
in the amount of Ten Hundred Seventv-four and 83/100
($1074.83 ) Dollars against any real or personal property or ~
interest therein presently held or after acquired by
, (Name of
John ivory, Jr. ~ of 510 N. 25th St.,Fort Pierce. Florida
- indigent or recipient) (Address)
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for money directl.y spent by St. Lucie County for the care, hospi-
talization, sustenance or maintenance of said indigent or recip-
ient of welfare assistance, as follows:
'Hospital: Fort Pierce Memorial
x
Date Admitted: 4/18/72
Date Discharqed: 5/7/72
' Number of Day s: 19 at $56.57 per Day 1074.83
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! Less Credits None
Amount of Lien $ 1074.83
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DATED at Fort Pierce, Florida, this 2~th day of July ~
234566
19 72 FILEO AM@ RECOR 8 ~
sT. wc~E couwn ~i~.
110CER POITRAS
CLERK CIRCUIT COIIRT -
RECORD VERIFIEO..~,~~ !
(Signature)
~ilQ 3 ~0 00 ~'~Z `
CounCy Attorney ~
(Title) '
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~ S:r~URV to and subscri:~ed before me ~
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t::is 27th uay of July , 19 ~2 ~
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tioL•ary I'ublic Stai:e of Flori Ut Large -~~,,RY
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:~ly Cor~~i ssion Expires : 1-21-74 s" 1~'~~ G.~.
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COURT tiVtcs~~~. ~~~,~;F-t ~r'' _ev1
HOUS~. FT. PIEi-:C~. FLCRI:~A gOOK ~O~ ~~f ~,~4y
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