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. NOTiCE OF LIEN Rocc R Parlu~~~~~
• CIERk C:S:CUIT ZOIIRT
RfCORi~ YE~~FIED.,~¦~..~~.L.
295959 ~ ~r
STATE OF FLORIDA '
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COUNTY OF ST. LUCIS 2,~5959 ;
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laas of Florida,~ Acts of~~~1965, the Board of County
Cammissioners of St. Lucie County, Florida, claims a lien.in the ;
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:
amount of Fifteen Hundred Sevent~=six and 64/100 ;
. {
1576.64 ) Dollars against any real or personal property - .
1
or interest therein presently held or after acquired by
Thomas Bush of 141g N. 16th St., Fort Pierce, Florida
(Indigen~ or Recipient) (Address)
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for money directly spent by St. Lucie Count for the care, hospital-
ization, sustenance or maintenance of,said I i et or Recipient
~
of welfare assistance, as follows:
Fort Pierce Memorial ~ ~
~ Hospital:
Date Admitted: 6/4/73 ~
Date Discharged: 6/30/73
Number of Days: 26 at $ 60.64 per day = $ 1576.64 .
,
i Less Credits None :
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i Amount of Lien $ 1576.64
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Dated at Fort Pierce, Florida, this ~ day of ~ ~
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November , 19 74,
.
(Sign ure)
County Attorney
(Title) ~
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~
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SWORN to and subscribed before me
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~ this ~5 day of u~ . 19~-
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Notary Public State of Florida t~ic ~c:~
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° My Commission Expires : • ~ '
` . ~~Ti~.(~,.FIORiDA AT tARCsE
~ Qj~? - ' ' 21 197P ~
bONQfQ •if3SURANCf Ua:~~R~•~a!T~RS `
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. THIS ItSS'~F?Ut.1FNT ~NAS PR~PAR£D F3Y ~ ~
c~;•.Lrri a. ~~J;~~oP1. ST. LUC{- CO}JNTY .
CuURTHOUSE. FT• P~ER~'E' fLORiDA
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