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STAT~: OI~ FLORIDA 2455~'7
COUNTY OI' ST. LUCIE
I~IOTICE is hereby given tl~at pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
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Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Three Hundred Forty and 70/100
340.70
) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Sallie Daniels of 403 N. 9th 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: 6/26~72
Date Discharged: ~~6~~2
' Number of Days: 10 at $ 55.57 per day= $ 565.70
t
' - Less credits 225.00 '
i
~ 340.70
; Amount of Lien $
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~ DATED at Fort Pierce, Florida, this day of
r
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~ January , 19 73.
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~ • (Si nature)
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~ ~County Attorney ~
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SWORN to and subscribed before me ~
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this ~ day of ~ , 19 7~.
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~ Notary Public StaLe af Fl.o dz at Large ~ ~
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~ My Commission Expires : 7y~ : ~ ~ - _
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THIS INSTRUa!ri;T :76,S P°EPA'~~D EY ~ G'~'• . • . •
_ i
RALPH 9. LY1~50ti. S; f~ C~_,u.~_Y '=;y ~ ~ .
~ COURTHOUSE. FT. PIcRGE. FLOi:iDA • . . . _
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