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~~9'794 NOTICE OF LIEN CLERit~R CtACYn
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STATS OF FLORIDA '
COUNTY OF ST. LUCIE 299'73~~
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
~ Commissioners of St. Lucie County, Florida, claims a lien .in the i
amou~t of Three Hundred Sixty and 80/100
360.80 ) Dollars against any real or personal property •
or interest therein presently held or after acquired by
Howard J. Smith of 712 Avenue E, Ft, Pierce. F1or~cLa _
(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:
Hospital: Fort Pierce Memorial
Date Admitted: 9~~~74
Date Discharged: 9/12/74 .
Number of Days: 5 at $ 72.16 per day = $ 360.80
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t Less Credits None
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` Amount of Lien $ 360.80
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~ Dated at Fort Pierce, Florida, this ~ day of
~ January , 19 75
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(Signa ure)
- - County Atborney
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~ (Title)
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SWORN to and subscribed before me
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~ this 7-~C~ day of , 19 ~7.~.~
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~ Notary Public State of Florida t Large ~ a.
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My Commission Expires : : Q~• ~ %
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RALPH E3. ~VfL_..... ~T L::C1~ CO~,i~ _ .
CO:JR iHOUS~. hT. PIEFiGE. FLOf<IDA ~:,~~'~s •c.,~ - > .
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