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FILEO AMD RECORDE~
ST.IUCiE COUNTr fl .
IIOCER P0ITRAS
CIERK CI~CUIT COUAT ~
NOTICE OF LIE~T aECOao vER~i~ED
,1u~ 11 12 44 PM'13
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STATE OF FLORIDA i~~SS7~ '
COUNTY OF ST. LL'~IE
I~OTICE is hereby given that pursuant to the provisions ot
Chapter 65-2181, Laws of Florida, Acts of 19ti5, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of One Hundred Ten and 12/100 ~
110.12 ) Dollars against any real or personal property or
interest tnerein presently held or after acquired by
(Name of '
Myrtice King of 1220 Avenue O, Apt. B, Ft. Pierce, '
Indigent or Recipient) (Address) ori a
for money directly spent by St. Lucie County for the care, r.ospitai-
ization, sustenance or maintenance of said Indigent or Recipie:.t ~
x
:
,
of welfare assistance, as follows: f
Hospital: Fort Pierce Memorial
Date Admitted- 8/10/72
~ 8/12/72 ,
Date Discharged:
E Number of Days: 2 at $ 55.06 per day= $ 110.12
i Less credits None
i
~ Amount of Lien $ 110.12
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~ DATED at Fort Pierce, Florida, this day of
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~ January _ 19 73
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~ (S gnature)
~ County Attorney
(Title)
' SwOR~~ to and subscribed before r,.e
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- Vo~.ar1 PuAlic State of F'lor' a at Large ~ •
Y.y Cor.}missian Expires : .
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THtS INSTRUt!,rniT \7AS P~7 ;PAR~D BY ~ ~g ~2s13 ~ ~ ~ ~ : . . ~
_ RALPH B WILSbV. ~T ~~+<<` C;,~;NTY g0~
_ CvURTHOUSE. FT. FttRCc?,, FL0,=21DA
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