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ADCER POITR~?S
t1ERK CIRGUIt COURT
NOTICE OF LIEN Rf.COR(~ YERIFiEb
.~M ~I IZ 44 PM'~3
S TATE OF F'; ^R? DA ~
245582 ~
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners %~f St. Lucie County, Florida, claims a lien in the '
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Six Hundred Five and 66/100 s
amount-of ~
Y
605.66 ) Dollars against any real or personal property or ;
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interest therein presently held or after acquired by :
(Name of
Addie Forte of 2207 Ave. K, Ft. Pierce, Florida ~
Indigent or Recipient) (Address) ~
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t
for money directly spent by St. Lucie County for the care, :~ospital- ~
~
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ization, sustenance or maintenance of said Indigent or Recipient ~
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i
of welfare assistance, as follows: _
~
Hospital- Fort Pierce Memorial ~
:
Date Admitted: 9~5~72
~ Date Discharged: 9/16/72
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` Number of Days: 11 at $ 55.06 per day= $ 605.66 i
s
i None
Less credits
~
s -
i 605.66
g Amount of Lien $
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s ~
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` DATED at Fort Pierce, Florida, this /a ~ day of =
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~ Januarv . 19 73 . ~
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County Attorney '
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n SWOR~~; to and subscribed before me
_ $
~ t'r.is day of £,ti„u- , 19~.
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Notar~ Public State o~ r lorid ' at Large .
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~mission Expires ~5~ ~ 3 L`, - '
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~x~ TNiS INSTF?UN.-~'T V.'AC PREPAZED EY ^ ••~•~•~1~~
RALPFi B. WI~SJ'~1. ST t_UC!c COUNTY ~O~ ~A~~Q~n
- COURTHOUSE. FT. PIEi:GE. FLURiUA 060~ v v
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