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NOTICE OF LIEN
2'79193
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 :
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Commissioners of St. Lucie County, Florida, claims a lien in the ;
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amount of Thirteen Hundred Ninety-four and 72/100 '
1394.72 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Jerry Jacobs of 423 Dundas Ct., 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 Admittede 4/5/73 5/10/73 12/17/73
and and
Date Discharged: 4/11/73 5/21/73 12/23/73 ~
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Number of Days 3__ at• $ 6~
• 64 Per day = $ 1394 . 7 2 i
j Less Credits None
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E Amount of Lien $ 1394.72
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~ Dated at Fort Pierce, Florida,. this %C~~_ day of
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g April ~ lg 74.
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~ County Attorney
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SWORN to and subscribed before me R~~oFr vEP:~~EO
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this L~ day of G~Z~E~.G , 19~~. ~ ~ ~ 50 ~~1 ~
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Notary Public State of F1 rida a arge _
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C<iURTHOUSc.. FT. P;E:R(:t, FLUf21DA
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