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NOTICE OF LIEN - , ~ =~5 ~
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STATE OF FLORIDA ~Eg Zp~ rG s6 An ~ j't F/
COUNTY OF ST. LUCIE 2 I~0~~
~ NOTICE is hereby given that pursuant to the provisions ot
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 Four Hundred Twenty-four and 48/100
424,48 ) Dollars against any real or persot~al property -
or interest therein presently held or after acquired by
Russell Thompson of 2102 Ave. P, 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 Memorial ~
Date Admitted: ~/31/73
' 8/7/73
~ Date Discharged:
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; Number of Days: ~ at $ 60.64 Per day = $ 424.48
e
s
; Less Credits None
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z Amount of Lien $ 424.48
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~ Dated at Fort Pierce, Florida, this ~ day of
;
:
s
~ February , 19
.
:5 ~
~ (Sig ture)
~ ~
~ County Attorney
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~ (Title)
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~
5
~ SWORN to and subscribed before me
_ this ~D day of . 19~
•
Notary Public State of Florida Large
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= My Commission Expires : 7~ • •,;C ' . ~ -
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- THiS I"iG"'PI:tJ~`:~ C F-.`P,}.~~D FY ~
° RALPH B. V`ri:_S'; - ' -
~ CVIiRTFi0U5~. FT. 1'l'~:Ft~:t:. FLUrt;::A
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