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NOTICE OF LIEN .
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STATE OF FI+ORIDA -
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 Three Hundred Sixty-three and 84/100
363.84 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
James Grace of c/o 1208 Ave O, Apt. B, Fort Pierce, Fla.
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hosgital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows:
Hospital• Fort Pierce Memorial
Date Admitted: 1/6/74
Date Discharged: 1/12/74
Number of Days:= at $
60_ per day = $ 363.84
. Less Credits None
i Amount of Lien $ 363.84
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~ Dated at Fort Pierce, Florida, this ~ a day of
June , 1974 .
FILEO AHU ~ECOROEO , •
Sj,LUC1E COUNT7 F~~• ~ (Slc3 ature)
ROCEP POlSRAS
CLERK C:R~U1t COUAt
QECO~~ vEr~c~c~
County Attorney
~ 3 9 44 pN (Title)
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SWORN to and subscribed before me .
~ day of u~uL . 19~-
~ this
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Notary Pu lic State of Florid at Large
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My Commiss ion Expires : /
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THIS INSTRUMENT kVAS PREPARED OY ~ ~ =
P.ALPH B. WILSON. ST. LUCIE COUNTY ";~t,~~i~'~~a~~
COURTHOUSE, FT. PIERGE. FLORIDA ~~.,~~~1+~ ~ ~
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