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' FIlEO A?It~ kECORDEO
St.lUC1E COUMtY FU. ;
~ NOTiCE OF LiEN ROCE~ P~~Ti~AS '
CIERK CIRCUIT COURT
. RFCOPD VEN~~tEO
STATE OF FLORIDA i~r~S9S ~ 'I 24
s
COUNTY OF ST. LUCIE 2~S~SS
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laas cf Florida,~ Acts of 1965, the Board of County
Commissioners of St. Lu~ie County, Florida, claims a lien in the
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amount of ~ Six Hundred Sixty-seven and 04/10
~
667.04. ) Dollars against any real or pe~sonal property ~ !
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or interest therein presently held or after acquired by -
Marion Cullum of .505 N. llth St., Fort Pierce, Florida
(Indigent or Recipient) (Address)
for money directly spent by St. Luca.e County for the care, hospital-
:
ization, sustenance or maintenance of said Indignet or Recipier~t
of welfare assistance, as follows: . ~
I;gspital: Fort Pierce Memorial ~
Date Admitted: 3/3/74
Date Discharged: 3/14/74
Number of Days: 11 at $ 60.64 per day = $ 66~.04 ~
~ Less Credits None
~ - - ` Amount of Lien $ 667.04
~ . .
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Dated at Fort Pierce, Florida, this day of
November , 19 74.
~ ~
.
(Sig ture)
County Attorn~ey
(Title)
!
SWORN to and subscribed before me
K~
~ this ~ ~ day of ~a-r~-~ 19 ~SL.
~
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~ ~Gt ~ ..et~ f'.~'.. '
Notary Public State of Florida Largi~j'~;::-- ; 5'~`~
-0~-~ - o . ~ i,R, ~ -r~ . '
My Commission Expires : /r ~o ` ~ ' ~ a;,,;`~T
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~~~~s~~-, 41, 197R
A~t ~OK~M`,i$~{~~~:~
60NDE0 tflR~ GEliz IiN~'R•.:e1r•qS
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THIS INS1"RIFS,!^NT l:'AS PR[FFitcp CY C`~•. ~ -
RALPH B. V',/lLSJ;J. Si. LUCic COUfVTY "r.. f.
COURTHOUSE, FT; p~ERCE, FLORIDA •
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