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NOTICE OF LIEN Rc,cip jG+~RAs
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STATE OF FLORIDA 265`750 W?1 ~1 AH ~~3
COUNTY OF ST. LUCIE rZrFS~SO
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 Eighty and 36/100
180.36 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Annie Wright of 1208 N. 20th St., Ft. Piecce, Florida
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said ~ndignet or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 10/26/72
Date Discharged: 11/1/72
Number of Days: 6 at $ 55.06 per day = $ 330.36
Less Credits 150.00
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~ Amount of Lien $ 180.36
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~ Dated at Fort Pierce, ~'lorida, this • day of
~ October 19 73
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(Sign ture)
County Attorney
~ (Title)
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~ SWORLv to and subscribed before me
F this ~ day of ~ ~ , 19~. ~ . ~ '
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~ Notary Public State of Florida a Large ~~?.;~I .
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~'iy Comr,~ission Expires : `75L
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s~~ TMIS 1N5'TRUMEi:T 47~.5 PRE~nR~D EY
RALPH B. W~LSOSV. 5T. L:JC;tE GOUNTY
COURTHOUSE. FT. PIEf~GE. FLORfDA ~QQK,~~A
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