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NOTICE OF LIEN
STATE OF FLORIDA
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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 Eight Hundred Forty-eight and 96/100
848.96 ) Dollars against any real or personal property -
or interest therein presently held or after acquired by
Jettie Ellison, Jr. of 431 No. 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 Indigaet or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted• 2/11/74
Date vischarged: 2/25/74
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Number of Days:` at $
6__ per day = $ 848.96
Less Credits None
i $ 848.96
{ Amount of Lien -
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~ Dated at Fort Pierce, Florida, this .3~PD day of
June ~ lg 74.
f1~E0 ANI+ q~~~R0E0 •
ST.LUCiE :.3L`NTY flA- •
ROG=F +G'Ta~$ ~ (S1 ature)
CLE~K Gt"'Ct!!T COURT ~
RfCQK7 Ycs ;='EO.~-----~
County Attorney
3 s 46 aH~~a (Title)
SWORN to and subscribed before me
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this ~~c day of 19~-
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~ Notary Pub ic State of lorida t Large
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My Commission• Expires : / 7 _ ~ • ~ °
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THIS INSTRVN,~`J? \rAS PR[QARED EV J~'
RALPH B. WILSON. 5T. LUCIc COIJNTY
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COURTHOUSE. FT. PIERCE. FLORIDA /~„~'~`'~rti~:;;,:.^
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E^ i 2,~p PAGE JJ~
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