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NOTICE OF LIEN ~ (
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STATE OF FLORIDA ~ IQ 9 Zl ~~7J '
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COUNTY OF ST. LUCIE 30~~~13
NOTICE is hereby given that pursuant to the provisions of I'
Chapter 65-2181, Lacvs of Florida, Acts of 1965, the Board of County ~
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Thirteen Hundred Eighty-nine and no/100
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1389.00 ) Dollars against any real or personal property ~ ~
or interest therein presently held or after acquired by
.
Eva Gilliam of 621 N. 9th St.. 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 maintenance of said Indignet or Recipient
of welfare assistance, as follows:
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Hospital: Jackson Memorial
Date Admitted: 1/20/74
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Date Discharged: 2/3/74
' Number of Days:. 12 at $115.75 per day = $ 1389.00
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~ Less Credits None
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~ Amount of Lien $ 1389.00 ~
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~ Dated at Fort Pierce, Florida, this ~i / day of ~
~ Ma rch , 19 7 5 i~
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~ County Attorney 'i
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~ S~90RN to and subscribed before me ~
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this ~'C • day of ~l~~i.u'-!~ . 197~ ~
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Notary Public State of Flor da at Large ,~.r•~;..'S`,:.° ~
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~ My Cornmission Expires - 7~ = • ~`i =t'~~ " §
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