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265~28 NOTICE OF LIEN sT +~~F~«~~~u?.
~IE~K 't?CUtT COUitt
FT~9R^ ~f %~~;E~
STATE OF FLORIDA ~ ,v ~ ~t3
COUNTY OF ST. LUCIE ~rss128
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts ot 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Four Hundred Ninety-five and 54/100
495.54 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Collie Gibson of 515 N. 8th 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• 1/26/73 -
Date Discharged: 2/4/73
Number of Days: 9 at $ 55,06 per day = $ 495.54
' Less Credits None
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` Amount of Lien $ 495.54
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~ Dated at Fort Pierce, Florida, tYiis day of
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3 Octobe r ~ 19 7 3.
~ (Sign ture) • ~
County Attorney
(Title)
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~ SWORN to and subscribed before me
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this day of L~~~--~~ . 1~3 . . , ~ - .
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- Notary Public State of Florida at L rge " r
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• ,~Iy Commission Expires: 7 ~ _ ,
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~~a THIS INSTRUMENT tNAS PRF.PAREO BY
RALPH B. WILSON. ST. LUCIE COUNTY
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COURTHOUSE. FT. PIERCE. FLORIDA
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