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NOTICE OF LIEN ~ust 'a~z
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STATE OF FLORIDA ~ ,b ,i 4i ~
COUN~`Y OF ST. LuczE 26f,141
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 Sixty and 64/100 _
60.64 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Charles Slater of 716 Avenue D, Fort Pierce, Florida
(Indigent or Recipient) (Address)
f or 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: 4/29/73
Date Discharged: 4/29/73
Number of Days: 1 at $ 60.64 Per day = $ 60.64
Less Credits None
Amount of Lien $ 60.64_
E
~ Dated at Fort Pierce, Florida, this ~ day of
~ October , 19 73 .
~ ~
(Sign ure) •
County Attorney
(Title)
~
~
SWORN to and subscribed before me
.
~ '
y~-,
this day of ~ , 19~.
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Notary Public State of Florida at Large • v' .
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:~ty Commission Expires : / - 1-/ - ~ ~ 'J""„
.
~ THIS INSTRUMENT V4•/1S PRE?ARFD EY
RALPH B. WILSON. ST. Ll1C?c COU~lTY
COURTHOUSE. FT. PIERGE. FLORIDA
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