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NOTICE OF LIEN iT.~~.~._~~TM ~
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STATS OF FLiDRIDA 295950 ~ Z~ 2Z ~M
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COUNTY OF ST. Lvc~E 295950 1
NOTICE is hereby given that purauant to the provisions of ~
Chapter 65-2181, Laws of Florida,- Acts of 1965, the Board of County
C+aa~nissioners of St.•Lucie County, Flori~a, claims a lien in the
~ao Hundred Forty-two•and ~6/100 +
amount of ~ t
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242.56 ) Dollars against any real or peraonal property ;
or interest therein presently held or after acquxred by
- John F~ain of 1710 Ave. D, 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: 9/17/73 .
Date Dischargeds 9~21/73
~ - Number of Days: 4 at $ 64.64 ~er day = $ 242.56
~ Less Credits None
~ Amount of I,ien $ 242.56
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Dated at Fort Pierce, Florida, this i~?~ ~ day of
November ~ lg 74 .
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.
(Sign ure) _
, County Attorney
~ (Title) _
~ SWORN to and subscribed~before me
~ ~
~ this ~ day of . 19~- ~
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I . C~~f~t G~./ ~ ; .
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Notary Public State of Florida t Larga~:~.•:;• ; ~'ti - ~
_ ~ ~ ` - f ~ . . `7~ •Y~~4
My Co~amiss ion Expires : ~ 7d - ~ ~ o-~ ` .
nui~K, r~eiic ~~att~ti~~~,~p~
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Mt C(lMM~oS~vR SRwRL ~?t.i~,'4~ jp~~'.',
90NDFD iHRU r;FN{Re~ 7q~s,1~Q~~C~ p~g~y~~~s
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THiS INSTP.tJMF'!vT WRS PREPl~'+FD g~' O R ~
RALPH B WILSON. ST LUC1~ :'pV,il'~l ~(~K~~IVV ~~~IVLJV
COUf2THOU5t, rT. PIERC: , F'LpF{~pA . .
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