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NOTICE OF LIEN ~
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STATE OF FLORIDA 65'759 2~'Z~
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COUNTY OF ST. LuczE . 265`'!59
NOTICE is hereby given that pursuant to the provisions of ~
Chapter b5-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Two Hundred Seventy-five and 30/100
275.30 ) Dollars against aay real or personal property
or interest therein presently held or after acquired by
Donald Boisjoly of 726 S. llth St., Fort 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• 10/18/72
Date Discharged: 10/23/72
Number of Days: 5 at $ 55.06 per day = $ 275.30
i Less Credits None
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` Amount of Lien 2~5.30
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~ Dated at Fort Pierce, Florida, this day of
~ October 19 73
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(Sign ture)
County Attorney
(Title)
~
~ SWORN to and subscribed before me
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~ this ~ day of ~'(~C L~~.,Pit~ . 19~. ' - ~ '
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Notary Punlic State of F orida at arge , rL -
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:~;y Cor;~ission Expires j- ~ i ~ .
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THIS INS?RUh!P':- .:'^.S P:?~P~r.~~ •-y O n 2~V ~/i{iC~~(~
RALPH 8. bYiL~O`L ::.C~'-: r~;~t;t!?'Y a~~
COURTHOUS~. FT. FiL:-:::c. F~~G :iJA
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