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NOTiCE OF LrEN c~E~~c c~~curt~ j
~ REOORD YER~IflD !
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STATS OF FLORIDA ~ ~ ~
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, COUNTY OF ST. LUCIE ~~9'7'7 ~
1
Nt~I~ i~ 2~er~~y ~iv~n that g~.zr~uant t a th~ grovi~9.ans of ~
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
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Commissioners of St. Lucie County. Florida, claitas a lien in the ~
amount of Four Hundred Thirty-two and 96/100 .
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432.96 ) Dollars against any real or personal property - E
or interest therein presently held or after acquired by .
John Stovall ofG 609 N. 18th St., Ft. Pierce, Florida
(Indigent or Recipient) (Address) -
for money directly spent by St. Lucie County for the care, hospital-
izati6n, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
R
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Date Admitted: 8~5~~`~
Date Discharged: a/11/74
Number of Dayss 6 at $ 72.16 per day = $ 432.96 ~
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~ - Less Credits None
I~ 432.96
; 4 Amount of Lien $
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Dated at Fort Pierce, Florida, this x~ day of
November , 1974 .
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~ (Sign ture) ~ .
s
~ County Attornev i
(Title) i
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~ SWORN to and subscribed before me
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this ~ ~ ~ day of , 19~.
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Notary__Public State of Florida t Large ~s-~- '
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My Commission Expires: ~-~'7~ ' ~ ~E"';
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NoiaRr
P~Te~~c st~~ oF aortit~i Y W1c~H'
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A1f C.(iw.rRi~.:~_1N tXt'1Gc51~!~ `~li~,•~~5;
~SONDED THRU Gf>-=`~Al lNSURANCt'iJi'! "~Ynt ''"v ~ - `
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TM~a INSTRUMFSVT V1/A9 PREPO'?ED sY ~ ~~F~~~'~
RALPH B. WILSOtJ. ST. [_LCS:. ;OUNTY ~''•v~ '
~ COURTHOUSE FT. PIERC:. FLORIDA 13
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