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299'795 ~ ~ E '
NOTICE OF LIEN OLERR CIRCUIT COIIRT
4EC0f10 VERI?IE~...r.,..~
~AN ~ 8 3a ~M'7S
STATS OF FLORIDA
COUNTY OF S~. LUCIE `~~'~9~
NOTICS 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
amount of Four Hundred Thirty-two and 96/100
432.96 ) Dollars ag~inst any real or personal property •
OY' interest therein presert? ~ ti1°~ ~ nr aftr~r a~±m~i rE+r~ hv
Robert S. Pittman of 2313 So. 35th St., Ft. 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: '
Hospital: Fort Pierce Memorial
Date Admitted: 10/19/74
Date Discharged: 10/25/74
~ Number of Days: 6 at $ ~2•16 per day = $ 432.96
~I Less Credits None
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~ Amount of Lien $ 432.96
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~ Dated at Fort Pierce, Florida, this day of
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~ Janua ry , 19 7 5.
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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 .~.~-G--~`-1- , 19~.
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~ Notar Pu lic State of Florida Lar
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~ My Commiss ion Expires : ~ 'y . _ '
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J/~'•., E' , r ~a ~1. .
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r~ T!'.~S I~tSTRUr~ "T ~^'~ti^ 1'P'?nRFD ~Y F - . ~ .
~ RALPH B. ~•r~~s~~:,. s~~~_~::-~_ c.-,•;-:rr -1'~~.~;,~~..
~ COURTHOUSc. F7. PIL-:'tZGE. FLORtUA ~t~~ltttj ~y~t~~''~~t,j
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~ ~GQK ~ir~~ PACE ~~~v
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