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NOTICE OF LIEN '~=-L" ` ~v:'~~'
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STATE OF FLORIDA ~ ~O 4~ ~ ~~3 ~
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COUNTY OF ST. LUCIE 3 ~
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NOTICE is hereby given that pursuant to the provisions of , ~
Chapter u5-2181, 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 i
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275.30 ) Dollars against any ~eal or personal property
or interest tnerein presently held or after acquired by
Ft
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Willie Curry of 506 N. 21st St., Fort Pierce, Fla.
(Indigent or Recipient) (Address)
f or money directly spent by St. Lucie County for the care, hospital-
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ization, sust~nance or maintenance of said Indignet or Recipient r
of welfare assistance, as follows: , ~
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Fort Pierce Memorial ~
Hospital: ~
3
Date Admitted: 2/18/73
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Date Discharged: 2/23/73 ~
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Number of Days: 5 at $ 55.06 per day = $ 275.30 ~
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~ Less Credits None {
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` $ 275.30 ~
i Amount of Lien x
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~ Dated at Fort Pierce, Florida, this day of ~
~ October 19 73 '
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(Sig ture) ~
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County Attorney `
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3, ;
~ SWOR1~ to and subscribed before me ;
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this /J~ day of ~ C'~e~-f~.v2/ , 19~. ~ . ~ . ~
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~otary Public State of Florida at Large r-~
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~i1~ Co;.4-nissior. Expires : ~-7J~ ~
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g~',~;s TMIS ItIS?RUMENT Y:AS pRCPARED BY ~
RALPH B. WILSON. ST. LUCIE COUNTY
COURTHOUSE. FT. PIERCE. FLORIDA
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