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NOTICE OF LIEN sT ROCEQCFOITRAS"
• CLERK C~RCUIT COUR1
~.7S9S1 R~COkI~ vEk~i~f0
STATE OF FLORIDA ~ : ~ ~ I I ?.Z ~M
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covrrrx oF sT. zvc~E 2,95951 • :
NOTICE is hereby given that purauant to tbe provisfons of
Chapter 65-2181, Lavs of Florida; Acts of 1965, tbe Board of County
Commissioners of St.•Lu e County, Florida, claims a lien in the ;
amount of Six Hundred Sixty-seven and 04/100 ;
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667.04 ) Dollars against any re~l o~-~personal property ~
or interest therein presently held or aftei avquired by
Bennie I~ill pf 2008 San Marcos Ave., Ft. Pierce, Florida
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or A?aintenance of said Indignet oi Recipient
of welfare assistaoce, as follows: ~
' Hospital: Fort Pierce Memorial
Date Admitted: 12129/~3
Date Discharged: 1/9/74 -
Niunber of Days : 11 at $ 60 . 64 per day = $ 667 .04
} 'Less Credits None
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~ Amount of I~ien ~ 667.04 i
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~ • Dated at Fort Pierce, Florida, this day of
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~ November , 19 74 .
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(Sig ture
County Attorney ,
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SWORN to and subscri}~ed before me ~
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~ this day of ~~a~-•-~~.,~~G,,it~ , 19~_
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e--~~ •
Notary Public State of Florida Large;
_4. • - _ ,
My Commission Expires • °C/- - .y~y0.` . -'L .
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~ NOIART rue?a ~~r~ ae~p~;~ic~-' -
Mt CUMM~~i~,~tr~lt,;y4K 41;
~ 40ND~f~ 7Ml11 '=F~'" ly~ liQaJ~CE (l~~+P=oS
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TH13 tNSTRUM.ENT ~~!AS PREPA^ED ~Y ~~i~~Cr, r:•~.••.~i-~~'~ic:
RALPN B. WILSON. ~T. LUCt~ :OUNTY ~ ~ = ~ b~~ ~
COURTNOUSE. FT. PIERCE. FLORIDA - ~
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