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NOTICE OF LIEN
STATE OF FL4RIDA
COUNTY OF ST. LUCIE ~~4~
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NOTICE is hereby g~ven 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 ~
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amount ot Tlzree Hundred Sixty-three and 84/100 ~
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363.84 ) Dollars against any real or personal property ~
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or interest therein presently held or after acqnired by ~
James Evers of 1109 Apple St., Fort Pierce, Florida ~
(Indigent or Recipient) (Address) ~
for money directly spent by St. Lucie County for the care, hospital- ~
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ization, suster~ance or maintenance of said Indignet or Recipient ;
of weZfare assistance, as follows:
Haspital: Fort Pierce Memorial
Date Admitted: 5/12/73
Date Discharged: 5~1-8~73
Number of Days: 6 at $ 60.64 per day = $ 363.84
Less Credits None
Amount of Lien $ 363.84
Dated at Fort Pierce, Florida, this ~•3 ~ day of ~
November ~ 19 73. _
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; ~ County Attorney
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~ ~ 3 ~M ~13 (Title)
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3 268451 _ , ~
SWORN to and subscribed before me `
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; this day of ~i~yrc,~ , 19~. - ' : ti - ~ - 5
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Notary Public State of 'Florida t Large .,.v.~~1~~ '
My Commission Expires: /
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~ THIS INSTRUMEf~T \JAS PREPAREp EY
s RALPH B. WI[.SON. ST. LUCIE CCUNTY
' COURTHDUS~. FT. PlERCE. FLOR7DA ~OI}II~O P,~~~1~
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