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NOTICE OF LIEN ~o~~~ ?'~~R~?5
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STATE OF FLORIDA M~ ~0 9~' aH ~75
COUNTY OF ST. LUCIE
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
amount of Seven Hundred Ninety-three and 76/100
793.76 ) Dollars against any real or personal property ~
or interest therein presently held or after acquired by
Samuel Stokes of 1408 Angle Rd., 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• 11/3/74
Date Discharged: 11/14/74
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j Number of Days: 11 at $ 72.16 per day = $ 793.76
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f Less Credits None
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~ $ 793.76
~ Amount of L ien
~ Dated at Fort Pierce, Florida, this day of
4
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~ March ~ lg 75
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(Sign ure)
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~ _ . County Attorney i
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(Title)
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~ SWORN to and subscribed before me
this ~ day of ~L+L~-~'~- , 19
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Notary Public State of Florida t Large ~
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'r~ My Commission Expires: ~ ' . - '
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= . Bo~~ 237' PA~E 519
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