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NOTICE OF LIEN t
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29~81~ i
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STATS OF FLORIDA ~
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COUNTY OF ST. LUCIE
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NOTICE is hereby given that pursuant to the provisions of
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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 Three Hundred Sixty and SO/100~ '
360.80 ) Dollars against any real or personal property ~
_ or interest therein presently held or after acquired by
Tan Miles of 747 N. 13th St., Fort Pierce, Fiorida ~
(Indigent or Recipient) (Address) ~
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of §aid Indignet or Recipient
of welfare assistance, as follows:
Hospital: I''ort Pierce Memorial
Date Admitted: ~/11/74
Date Discharged: ~/16/74 t.
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~ Number of Days:~ 5 at $ ~2-16 per day = $ 360.80
~ None
Less Credits
~ Amount of Lien $ 360.80
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Dated at Fort Pierce, Florida, this S3 day of
December , 1974 ~
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(Signature)
" County Attorney
(Title) {
- . ~ f LEq ~?~t RECuit0E0 ~
~ s~.~ucir couMtr f~~.
ROC~fi ~3~TRAS
' CtEPt CsR~atT COURT
SWORN to and snbscribed before me Rccoro v~=:~:c~~_
~C ~ 44
this . day of ~(J~. ~ ~lit~ . 19 ~ ' • 297814
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Notary blic State of Florida Lar~e~,,•••'.~-~~~~~~'
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My Cammission Exp~res. 78~_ -p.~~,p.Y~ ~
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THIS INSTRUM.FNT ~YAS PREPRRED BY ~ `~~.:,`;`~~;~G,' ,
RALPH B. WILS~N. ST. LUCIE CQUNTY ~ P~~
COURTHOUSG. FT. PIERCE. FLORIDA 91~.••,~
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o R 234 2433 - ;
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