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NOTICE OF LIEN ~~F~uMt ~T
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STATE OF FLORIDA ~
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2959'78 - - ~
COUNTY OF ST. LUCIE }
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NOfiI~E i$ IY~reby giv~i~ ~us~ ~+u~3w~:tt to th° g~QVi~i~ns o~ ;
Chapter 65-2181,~Laws of Florida, Acts of 1965, the Board of County ~
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Commissioners of St. Lucie County, Flori.da, claims a lien in the
amount of Sixteen Hundred Thirty and 5fi/100
1630.56 ) Dollars against any real or personai property - - '
or interest therein presently held or after acquired by
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Dixie Lee DePriest of P O Box 3223, Fort Pierce,•Florida ~
(Indigent or Recipient) (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: ~
_ H~spital• Jackson Memorial 8ospital ~
Date Admitted: 6/21/74
Date Discharged: ~/18~~4
(allowed~ 1630.56 ~
Number of Days: 12 at $ 35•88 per day = $ ~
i ~ Less Credits None
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~ Amount of Lien $ 1630.56
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Dated at Fort Pierce, Florida, this~ day of
November ~ 19 74.
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(Sign ture) '
County Attorney
` (Title)
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~ SWORN to and subscribed before me
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this day of ~ . lgf r r• ~
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Notary Public State of Florida t LarcJ~'.~~?~
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M Commiss ion Ex ires : ~ J -
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~ON~;C i~tR~ ~ENERAL INSIf~A~E'GL~~d~~~~~~ u ~
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RALPH B. 'rJILSCtJ. £,T. ~'~GE . :Ol~NTY ~~1~~'r,tt'~~+'•` , O Q
C~URTlipUbE FZ. PIERCE. FIORiDA dOOK ~ PAGE
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