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NOTICE OF LIEN iT.~~{~ .
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STATE OF FLORIDA 2~5954 ~ 15 Z~
COUNTY OF ST. I.UCIE ~ 2~5954
,
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NOTICE is hereby given that pursuant to the provisions of =
Chapter 65-2181, Laws of Florida; Acts of 1965, the Board of County
Com~nissioners of St.•Lucie County, Florida, claims a lien in the
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amount of Two Hundred Forty-tw¢ and 56/100 +
. ~
242.56 ) Dollars against any real or personal property ~
or interest therein presently held or after acquired by
John Kur~z ~ af 3432 Abbott St „ Fort Pierce, Florida
(Indigent or Recipient). (Addresa) _
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or iaaintenance of said ~ndignet or Recipient
of welfare assistance, ~ follows:
Hospital: Fort Pierce Memorial
Date Admitted: 12/1/73 ~
~ 12/5/73 . . t
Date Discharged:
Number of Days:= at $ 6Q.64. per day = $ 242.56 ~
None
Less Credits
~ ~ Amount of Lien $ 242.56
i
~ Dated at Fort Pierce, Florida, this ~ day of
November , 1974 .
.
. (Sign ture) •
_ County Attorney
~ (Title) ~
SWORN tv and subscribed before me
~
~ this 5~ day of . 29~-
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Notary Public State of Florida at a~,. ~.Y.~ . ~
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My Commission Expires : ~ , ~ - : c- . _ _ : :
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RACPH B WI'LSO J. ~,TSL'uC:?A~~~j`¢:TY ~ '''''',~~~r~~~l!!
COURTHOUSE. F?. PIcRCE. FLGf21DA ' "
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