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~59'7~r NOTICE OF 3aIEN iT.lt1C1E COUNTT :
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STATB OF FLORIDA NOII Z5 ~ i~ 24 i
COUNTY OF ST. Lvc~$ ~ 2~~g~2 ,
NOTICE is hereby_ given that pursuant to the provisions of
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Chapter 65-2181, Laws of Florida; Acts of 1965, the Board of County - `
Co~naissioners of St.•Lucie County, Florida, claims a lien in the a
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amount of Seventeen Hundred Thi~Yty-one and 84/100
1731.84 ) Dollars against any real.or personal property
or interest t2ierein presently held or after acquired by
Edna Ricl~ards pf 504-A Tumblin Kling Rd., Fort Pierce, Fla.
(indiaent or Recipient) . . (Address)
for money directly spent by St. Lucie County for the care, hospital- ~
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ization, sustenance or maintenance of said Indignet or Recipient !
of welfare assistance, as follows: . ~
~ Hospital: Fort Pierce Memorial '
Date Admitted: 4/2/74
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~ Date Discharged: 4/26/74 .
Number of Days: 24 at $.Z2-16 per day = $ 1731.84
• None ~
Less Credits
! $ 1731.84
_ Amount of Lien
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Dated at Fort Pierce, Florida, this ~ day of
Novetnber , 19 74 ~
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(Sig ature)
F
County Attorney
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SWORN to and subscri~ied before me
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~ this ~ day of ` , 19~.
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Stt e of Florida at
Notary u I'a'~~','•`~~ ~ .j, ~
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My Conuaission Expires : ~ ~ y/ ~ 7~ : :'d~ • ~
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rv~]~fv,ai~~ s15~se` • ac}A) u?~3E
~G ~~3 ¢~A.t~ . iti 21, 1978
dON ¢r r~ ~ ~E UR~~R r«!?ERS
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T~f~3 INSTRUMc(VT VVAS PREPP^£D E1Y ~,-~~i~~ . x~ BO~ ~E
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RALPH B. WILSOfV. ST. LItU:. :~UP1TY ~.~`~~rr~•,~~. '
COURTHOUSE, FT. PI~RCE. FLOR{DA '
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