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~OTICE OF LIE:~T AF~nF~ Y
JAN I~ I~ 1~ PN'~3 =
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. STATE OF FLORIDA ~4 455$S ~
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COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions o~ ±
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, FZorida, claims a lizn in the
amount of T~"~o Hundred Seventy-five and 30/100 ~
275.30 ) Dollars against any rea3 or personal property or
interest therein presently held or after acquired by
(Name of
Eddie Burkes of 888 N. 17th St., Ft. Pierce, Fla.
Indigent or Recipient) (Address}
for money directly spent by St. Lucie County for tre care, hospital-
ization, sustenance or mair,tenance of said Indigent or Recipient
of welfare assistance, as ~ollows:
Hospital: Fort Pierce Memorial
Date Admitted: 8/18/72
Date Discharged: 8~23~~2 ~
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5 55.06 Y_ $ 275.30 '
Number of Days: at $ per da
:
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Less credits None ;
:
275.30 ~
Amount of Lien $
DATED at Fort Pierce, Florida, this 1~ ~ day o~ ;
January ~ lg 73 '
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(Signature)
County Attorney
(Title}
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SWGRN to and subscribed before me
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t~.is /o?~ day of , 19~.
„~r,rn:,,
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`otary PuAlic State of Florida Large ~ ' ^
:~,y Cor;~mission Expires : 75L tn~; ~ ~_,`G
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THiS iN3TRUMChIT tt'AS I~tEPARED py
RALPH B. 4VILSON. ST. LUC1~ C~Ut1TY
COURTHOUSE. FT. PiERGE, FLORIDA O R ZO~ Q `
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