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,,6~119 NOTICE OF LIEN ~{,EFK t t~~t ~9y;T ~
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STATE OF FLORIDA ~ ,j ~ ~
COUNTY OF ST. Lvc~E 26s119
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 Four Hundred Eighty-five and 12/100
485.12 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Mary Storey of 2305 So. 40th St., Fort Pierce, Fla.
(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
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Date Admitted: 5/1/73
Date Discharged: 5/9/73
Number of Days: 8 at $ 60.64 per day = $ 485.12
• Less Credits None
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' Amount of Lien $ 485, 12
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~ Dated at Fort Pierce, Florida, this /S~ ~ day of '
k
~ October ~ 19 73. .
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(Signature)
~ County Attorney
(Title)
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~ SWOR1~ to and subscribed before me .
- this ~ day of ~.~,~C.P~ , 19~. ~ -
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~ Notary Public State o Florida t Large ~ r'-
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~ D4y Commission Expires : ~ ~ SL
L~i Y
r=,Y THIS INSTRUMENT K'AS PRFP+.R£D EY
RALPFi B. WILSOfV. ST. LUCi~ COUNTY
~ COURTHOUSE. FT. PIERGE, FLOt21DA
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90CIt 2~9 PAGE2280
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