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STATI: OF FLQRIDA
COUNTY OF ST. LUCIE
NOTICE is hereby given t~at pursuant to the provisions of
Chapter 65-2181, LacJS of Florida, Acts of 19G5, tlie Bo~rd of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Three Hundred Ninety-five and 54/100
395.54 ) Dollars against any real or personal properi:y or
interest therein presently held or after acquired by
(Name of =
Georgia Brown pf 2007 Ave. E, Fort Pierce, Florida ~
Indigent or Recipient) (Address) - _
:
for mor,ey directly spent by St. Lucie County for the care, hospital- ~
;
3
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
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Date Admitted: ~~24~~2
Date Discharged: 8~2~~2 `
~ Number of Days: 9 at $ 55.06 per day= $ 495.54
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; Less credits 10(3.00
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~ Amount of Lien $ 395.54
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~ DATED at Fort Pierce, Florida, this //~-~iJ day of
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~ January , 19 73
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~ • (Si nature) _
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~ County Attorney
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~ (Title}
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i
SZti~ORN to and subscri~ed before me ~
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~ th i s d a y o f G~; ;.uL!<.%, . 19
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' -=t~..~ .Z~ ' .a`''~ 1.. - ~
e~.s ~ ~ _ = ~y . , • .i
Notary Public State of Flor ~ a at Large
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~ My Commission Expires /-e~/- = c- ~~ry _
~.v - , i' J ,'`,iz
T.~~S ,~.S-Pi_~r~o. ••;.5 ° .~?AR~D F>Y ' i•~ ' .
= RALPH 8 VYILSG ~ S' ~I~CtE C_~'v1:TY . -
.
COURTHOUSE, FT PlctZGt, FLORi~A ~'28~' . • _
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