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NOTICE OF LIEN aocr~ ~:~IRAS ~
~ CtERK i.~•'r Ci~JRT
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STATE OF FLORIDA NOV D I~ S~ aM ~~3
COUNTY OF ST. LUCIE 2~~Q0~
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 Fifteen Hundred Seventy-six and 64,l100
1576.64 ) Dollars against any real or personal pro ert =
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or interest therein presently held or after acquired by -
Eugene Dixon of 907 N. 16th 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 I~dignet or Recipient °
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of welfare assistance, as follows: {
~ Hospital - Fort Pierce Memorial
Date Admitted: 5/3/73 .
Date Discharged: 5/29~73
Number of Days: 26 at $ 60.64 per day = $ 1576.64
' Less Credits None ;
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! Amount of Lien $ 1576.64
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E Dated at Fort Pierce, Florida, this ~ day of =
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~ November ~ 19 7 3 .
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~ (Sign ture) •
~ County Attorney
~ (Title)
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SWORN to and subscribed before me '
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~ this ~ day of , , 19~. ~ '
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Notary Public State Florid at Large
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~ My Commission Expires /-rt./- ~ ~ ,~+~~,.~s ; , _
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~ THIS IN817iUMENT 1NA$ PREPARED 9Y C~ "f 1•r £
~ RALPH B. WILSON. ST_ LUClE COUfVTY
,~~~a COURTHOUSE. FT. PtERCE. FLORlDA ~ }
~ V~ 220 1997 -
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