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NOTICE OF LIEN ItOCf R F~tT~?f ` ~
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STATS OF FLORIDA ~ ~ ~
- 295985 `
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COUNTY OF ST. LUCIE
NOTICE is ~ie~r~by giv~n th~t pussu$nt ~c~ ~?:e ~rc~~~s~ons af
Acts of 1965, the Soard of County ~
Chapter 65-2181, I,aws of Florida, g
Commissioners of St. Lucie County, Florida, claims a"lien in the ~
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Seven~Hundred ~aenty-one and 60/100 ;
amount of - -
721.60 ) Dollars against any real or personal prope~cty -
or interest therei~ presently held or after acquired by
Marie V. Cliffin of 810 Avenue B, Fort Pierce, Florida
(Indigent-or Recipient) (Address)
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for money directly spent by St. Lucie County for the care, hospital- -
ization, sustenance or inaintenance of said Indign~t or Recipient
of welfare assistance, as follows: #
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Hospital: Fort Pierce Memorial` s
Date Admitted: 7j3/74
Date Discharqed: ~~1~~~4
Number of Days:,_10 at $
7?.16 Per-day = $ 721_60
Less Credits None
E
~ $ 721.60
~ ~,mount of Lien
Dated at Fort Pierce, Florida, this ay.of
November ' , 19 ~4. - ~
~
~ _ (Sign ture) .
~ County Attorney
(Title) _ ~ ~
~ SWORN to and subscribed before me . -
~ti
this ,~.5" day of ~~-+~-c.-k-h~ . 19~. . .
• ~-l . '„C ~ I ' ~ r. -
Lt ~ ~ ~ ~ t.. ' -
- ~ J:s.,,
Notary Public State of Florida adx~ Large._~:
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My ~Commission Expires : ~ -2-/- 7~ -
NOTARY PUa11C ST~1f?•O~~ j:AT S~
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•~r ~UMJNi55tVft 21, 197$ ; .
60NU=Q iHRU GENEQAk., ~ UNDEA~1'~l.~
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COURTHCUS" ri'. PtEi~G::, F~.C:Z:~A ~ - " "
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