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NOTICE OF LIEN ~~845s
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STATE OF FLORIDA
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2~81, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Four Hundred Eighty-five and 12/100
485.12 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Andrew J. Solomon of 1312 Orange Ave., Ft. 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 Memorial
Date Admitted: 6/7/73
Date Discharged: 6/15/73
' Number of Days: 8 at $ 60.64 per day = $ 485.12
I
E Less Credits None
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~ Amount of Lien $ 485.12
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~ Dated at Fort Pierce, Florida, this /.3~ day of
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November ~ 19 73~
FIIEB ~Ri~ ~tECOR~EO ~
ST. ~IICIE COUNTIf FLL •
R06ER ~~iTR~1S \ (Si na ure)
CtERR c;r,CU~T COURT 9
PFCAR~ YEP.~~iEO ~
County Rttortiey
~ 3 47 1 n ~Z3 (Title)
~ 268455 _ - -
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SWORN to and subscribed before me ~ `
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~ this ..3~ day of ~~~_a~~ . 19~. ; ' ~ ~ ~ - f4~
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Notary Pu lic State of lorida Large ST•t =
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My Commission Expires : J~
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THIS INSTRUMENT 1fJA5 PR~PARED BY
RALF'H B. WILSON. ST. LUCIE COUNTY ~ R~~O
~ COURTHOUSE, FT. PIEFtGE, PLORIDA aOOK, PAGE
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