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NOTICE OF LIEN
STATE OF FLORIDA
~~8
COUNTY OF ST. LUCIE
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, claima a lien in the
amount of Twelve Hundred ~velve and 80/100
1212.80 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Alfon Blackerby of 22 N. Causeway Dr., 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 i+~Iemorial
Date Admitted• 4/19/73
Date Discharged: 5/9/73
Number of Days: 20 at $ 60.64 per day = $ 1,212.80
; Less Credits None
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~ Amount of Lien $ 1,212.80
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Dated at Fort Pierce, Florida, this /3 ~ day of
~ November ~ 19 73
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~E~pitOtO~ ` •
f~~`~~~E
~aUNR~S` ~ (Sign ture)
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K ~.flLV~t G01lRS
C~ER~E~tf~E~ 1 County Attorney
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RFC _ ~ 3 y,~ 4N+~.i (Title)
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~ 268448
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SWORN to and subscribed before me
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this ~3~~ day of ~ lg~ ,.l,,,~,'~
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Notary Public State of '~'lorida Large
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~ My Commission Expires :
THIS INSTRU!.~r~;T •.:'qc pc;-oer-n O R
RALPH B. WILSO^.. ~T. ~'_'Ci~_ _~;-i~~:i`:" R A O
~ COURTHOUSE. FT. F'l::.R~:E., F:.ORiDA Y~~K ~~O PAGE27j
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