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~~-~.~a~ NOTICE OF LIEN ~
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STATE OF FLORIDA
C4UNTY 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 ~?o Hundred Seventy~five and 30/100
275.30 ) Dollars against any real Qr personal property ~
or intereQt therein presently held~or after acquired by
Donald Coe of 2302 Avenue G, Fort Pierce, Fla.
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or raaintenance of said Indignet or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 2~22~~3
Date Discharged: 2~2~~~3
~ Number of Days:= at $ 55.06 per ciay = $ 2~5.30
_ Less Credits - None
Amount of Lien $ 275.30
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Dated at Fort Pierce, Florida, this day of
September lg 74 _
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(Signa ure) •
County Attorney
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SWORN to and subscribed before me
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this ~ day of .:lc. ~ • 19~~•
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Notary Public State of Florida Large.
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My Commission Expires : 7~ . _ . t
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THIS INSTRUMENT \NAe PREPARED Bl~ rJ~ij} ~''1~.1~~`~c R M%'~~
N ~ ~ Y ~:Y • O " / ~ f ¦ ~I~YL
RALPH B. WILSON. ST LUClE COU,~TY QOQK
GOURTHOUSE, f-T. P{t:RGE, FLORIDA ` ~ - • • 1=: ~ ~ - ~v~
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