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NOTICE OF LIEN '
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STATE OF FLORIDA
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, claims a lien in the
amount of Six Hundred Six and 40/100
606.40 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Harold Moxey og 1607 N, llth St., Apt. 13, Fort Pierce,
(Address) orida ~
(Indigent or Recipient) ~
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenalzce or maintenance of said Indignet or Recipient
of welfare assistance, as follows: ~
3
Hospital: Fort Pierce Memorial
Date Admitted: 1/19/74 _ '
Date Discharged: 1/29/74
Number of Days: 10 at $ 60.64 per day = $ 606.40
a Less Credits None
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} Amount of Lien S 606.40
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~ Dated at Fort Pierce, Florida, this / C~ day of
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~ A ril , 19 74
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~ (Sig ature)
~ County Attorney ;
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~ (Title) ;
4~ fI~EO ~NU ~cECOA~EO :
~ ST. LUCtE COUNTY ~A• `
ROC~R P~~`RAE i
2''r~~9~ ^ LERK C+~CUIT COUIIT z
aF .oan ve~~t~to ~
a
~ SWORIv to and subscribed before me ` `O 50 `u
Nn
>'S this /D ~ day of G2~F.[~ . 19~.
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Notary Public State of Florida at L rge ,
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My Commission Expires : 7~ - _ _ : ; , - • ~
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;~z:~ GUURTHOUSE. FT. PIuiG~, FLURIDA ~
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