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CIERK C~';CU~; ~T
NOTICE OF LIEN RfCOR? VER FIEO,~ ~
STATE OF FLORIDA 2fi5'744 ~ ~
COUNTY OF ST. LUCIE 265'744
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, 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 therein presently held or after acquired by
Eddie Burkes of 808 N. 17th St., Ft. Pierce, Florida
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient.
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 1/19/73
Date Discharged: I/21/73
Number of Days: 2 at $ 55.06 per day = $ 110.12
; Less Credits None
i
; Amoun t of L ien S 110 .12
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Dated at Fort Pierce, Florida, this day of
~ October ~ 1g73
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(Signature)
County Attorney
(Title)
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~ SWORN to and subscribed before me
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'rv=> this day of 1~~ ~~L, ni . 19~. - - ~ ~
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Notary Pvblic State of Florida a arge
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~r' b1y Commission Expires : /-•Z ,Z,T-
TNIg IN8T(iUMEN7 \VAS PREPARED CY
~ RALPH B. WILSON. 5T. LUCic COU^iTY O~(~~~ ~~/~A
~ COURTHOUSE. FT. PIERGE, FLORiDA / t11 !
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