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295981 ~
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NOTICE OF LIEN '
~copo y~~ F~p~ t
TE O FLORIDA ~ ~ ~ ~ ~~~M .
STA F N~~ ~s ~s A
r
COUNTY OF ST. LUCIB ~SSS1
NO"~ICE is I~ereby given ~~i~~ gur~uant tt~ th~ provis~^:~s Qf ~
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the - ~
amount of TWO ~ndred Sixteen and 48/100 .
i
216.48 ) Dollars.against any real or personal property
or interest therein presently held or after acquired by
Annie Anderson ~f 704 N. 22nd St., 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 Iadignet or Recipient ~ _
of welfare assistance, as follows: . !
i
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Hospital: Fort Pierce Memorial 3
Date Admitted: 8/25/74 :
_
Date Discharged: 8~28~74
Number of Days: 3 at $ 72,.16 per day = $ 216.48
I None
~ Less Credits
~ ~ 216.48
f - - Amount of Lien $ "
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i Dated at Fort Pierce, Florida, this day of .
~ November 1974 . -
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. (Sign ture)
County Attorney
- (Title) .
~ SWORN to and subscribed before me
~
this , n2~-'`~ day of ,~,~a-v~-~~G.l~/ . 19~- . - _ -
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Notary Public State of Flor' a at Lar e~,`~'~ •r•;
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My Commission E~:pires : ~ ~ ~ t~°
• NOTARY PtJSII~ STAT~ Of ftOR{bA ~i'~ - ~ fr~~,
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M1 CUMM~S~~cN. t][~~RES »N. , •~':•~4t•:~?_•
bONDEO 1NRU GfNERAt INSURANCE~~~~~ ,
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TH?S INSTRL'lAEP:T \YAS PR-n' 'FD BY • ~ _
RALPH B. WILSQ."J. ST. LLiC:, ;OUNTY
COURTHOUSE. FT. PIERCE, FLOi31Dq 6~~ ~
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