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NOT2CE OF LIEN ~s~. wctE couN .
ROCER ?O~TRAS `
ClfP.K C~ciCUiT COURT i
' . RFC~~fD vfR+F~f.O ~
STATE OF FLORIDA ~Qy 1~j 112s ~1!'7~1
COUNTY OF ST. LvcsE ~ 2959'74
NOTICE is hereby given that purauant to the provisions of F
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Chapter 65-2181, Laws of Florida; Acts of 1~~5, tl~~ ~s~rc~ ~~tY ~
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Co~anissioners of St. • I.ucie Caunty, Florida, claims a lien in tbe !
aYaount of Five 8undred Sedenty-seven and 28/100 _
57.7.28 ) Dollars against an.y real or personal property ~
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or interest therein preBently held or after acquired by
Robert White of 3005 Kingsley Dr., Fort Pierce, Florida
(Indigent or Recipie~t) ~ (Address) ~ -
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows: _
. Hospital: Fort Pierce Memor~tal ,
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Date Admitted: 6I25/74 ~
Date Discharged: ~~3~~4 _
~ 577. 28
Number of Dayss= at $ 72~1f' per day = j
£
Less Credits None
~ . Amount of I.ien 577. 28
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~ Dated at Fort Pierce, Florida, this ~ day of
~ November lg 74
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f
(Sig ture) `
County Attorney
. (Title) ~
i
SWORN to and subscri}~ed before me
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this day of ~~2--a.~rx1~ . 19~.
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Notary Public State of Florida La~qe L;
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M Commission Expires : - ';~d ~ " . .
~ y NOTART PUBLK 7ETI~TE C~F:~RID,~1 ArIL~E- •
Mr LpMr.,SS+~,;:j Eli,~9~~n.: 19~ -
+ONDfT 1vRlt !;f!V' r: ~ a s
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T~-1~5 INSTPI:M~'.- \`:AS PR~PP:'EO BY `y~ ~i~ : ~ . ,
- RALPH B. WILSON. ST. LUCIc :OUNI'~ r'
COUR7MOUSE. FT. P1c.RGE. f'LORiDA ~''lr~~:.;;: i~ "•`~~~j -
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