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NOTICE OF ~LIEN }
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. ~ 8 II sw Ah'73
STATE OF FLORIDA
COUNTY OF ST. LUCIE ~ 6sOOS
NOTICE-is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
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Commissioners of St. Lucie County, Florida, claims a lien in the
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amount of Two Hundred Twenty and 24/100 ;
220.24 ) Dollars against any real or personal property
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or interest therein presently held or after acquired by i
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Johnnie Prince of 1405 N. 15th St., Fort Pierce, Florida ;
(Indigent or Recipient) (Address) ~
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for money directly spent by St. Lucie County for the care, hospital- ~
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ization, sustenance or maintenance of said Indignet or Recipient ~
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of welfare assistance, as follows: ~
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Hospital: Fort Pierce Memorial `
Date Admitted- 11/6/72
Date Discharged: 11/10/72
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~ Number of Days: 4 at $ 55.06 per day = $ 220.24 :
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Less Credits None {
i 220.24 £
~ Amount of Lien $
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Dated at Fort Pierce, Florida, this ~ day of
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~ November , 1973 . ~
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~ (Sign ture)
~ County Attorney
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SWORN to and subscribed before me
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y~ this day of , 19~. ;
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Notary Public Stat of Flor a at Large 0!, -
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:,a My Commission Expires: pt~~t-~C ~
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'-~~`-i THIS INSTRUMENT HVAS PREPAP.ED DY
' RALPH B. WILSON. ST. LUGIc COUNTY
~ COURTHOUSE, FT. PIERCE, FLORIDA .
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