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NO~TIC& OF LIEN
STATE OF FLORIDA ~~Q2z
COUNTI' OF ST. LUCIE
NOTIGE i$ hereby given that pursuant to the provisions of ~
Chapter 65-2181, LaWa of Florida, Acts of 1965, t2ie Board of County
Con~aissioners of St. Lucie County, Florida, claims a lien in the
amount of Two Hundred Forty ~':wo and 56/100
, ;
242.56 ) Dollar-s against any real or personal property ~
~
or intere~t therein presently held or after acq~iired by _
Carl Norman of 1722 Avenue K, Fort Pierce, Flarida
(Indigent or Recipient) (Address)
for money directly spent by-St. Lucie County for th~ care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows: "
Hospital: Fart Pierce Memorial
i
Date Admitted: 5/26/73
Date Discharged: 5/30/73
Number of Days: 4 at $ 60.64 per day•= $ 242.56
Less Credits None
~ $ 242.
4 Amount ~f Lien 56
~
Dated at Fort Pierce, Florida, this g~ day of
September ~ lg 74 . ~
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~
• ;
(Sig ature) '
County Attorney
(Title)
.
E ~503~"'
~tGi1i lR~~
C~811RT ~
SWORN to and subscribed before me RECORO vER~f~ED~`
~ day of ? ^ ' . I9~5'
: ~ 9 u PM
this
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Notary ublic State of Florid at Large
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My Co~nission - ~
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RALPH B. WILSO:J. ~GE. r ~ ~ $QIIK~ Y~~C~ '
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GOURTHOUSE FT. PIE" 'rLOfttDA ~ . D ;
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