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NOTICE OF LIEV ~lf~C9R9 YER~c~E~.~..~..~
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STATE OF FLORIDA 245588
COuvTY 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 of St. Lucie County, Floriaa, claims a lien in the
ac~ount of Three Hundred Eighty-five and 42/100
385.42 )~?ollars against any real or personal property or
interest therein presently held or after acquired by
(Narte of
Charles Ellis of 414 N. 18th St., Ft. Pie rce, Fla.
Indigent or Recipient) (Address)
for mor.ey directly spent by St. Lucie County for the care, hospitai-
ization, sustenance or maintznance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital• Fort Pierce Memorial
Date Admitted: 8~5~~2
8 /12/72
Date Discharged:
Number of Days: ~ at $ 55.06 per day= $ 385.42
~ Less credits None
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~ 385.42
~ Amount of Lien $
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6 DATED at Fort Pierce, Florida, Lhis /v~ day
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~ January ~ lg 73
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~ (S ignature)
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5
~ Count~ A orne~
~ (Title)
Sin'OR.~ to and subscri'Aed before me
'3 this /a ~ day of ~ , 19~.
~ ? J`~`~.~~~ ~ , e_ , .
~otary Public State of Florida t Large _ .
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~ My Cor;,,-nission Expires : / vZ/- ''y~ .
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THIS INSTRUM~NT 1h'AS PRFPARED BY ' .
RALPH B WILSG^S. ST. LUCtE COUPITY L,:~ ~
COURTHOUSE, F7'. PiEF2CG. FLORIDA Q(t
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