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NOTICE OF LIEN
STATE OF FLORIDA ~~~~U
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, ~aws of Florida, Acts of 1965, the Board of County~
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Five Hundred Forty-five and 76/100
545.76 j Dollars against any real or personal property ~
or interest therein presently held or after acquired by
Cassie Solomon of 1717 Ave L, 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: 2/15/74
Date Discharged: 2~24/74
Number of Days: 9 at $ 60.64 per day = $ 545.76
~ None
Less Credits
` ~ Amount of Lien $ 545.76
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Dated at Fort Pierce, Florida, this ~D day of
June ~ 19 74
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RECOA FIA. ~ • -
f 1lEU~~~ GOUNtY .
s?~ pOGEF ~~titRAS (Sig ature)
CLEN vc~if
4~0 COU~'~
Rf.~~R~ K County Attorney
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SWORN to and subscribed before me
this ~~uC day of . 19~•
~ .
Notary Public State of Florida at arge ,
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My Commission E~pires : y~~ 7~ ~ 0~~~~ R~~.- :
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T~;tB INS'rRUMF'NT ~VAS PREPARED SY ,.y,- : r-.
RALPN B. Y?ILSON. ST. LUGic COUNTY ~•.'F ~<<<~,'•
CmURTHOUSE. FT. PIERGE. FLORIDA e~e~
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