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NOTICE OF LIEN CIEF~ C:::V~~=(',Y~r C
Rif.~~cC vt-.,=~En~~ '1
STATE OF FLORIDA ~ ~O ~ Zi ~ ~r~
COUNTY OF ST. LUCIE 3~~~~
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 `
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amount of Six Hundred Forty-nine and 44/100
+
~ 649.44 ) Dollars against any real or personal property •
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or interest therein presently held or after acquired by '
~
Myrle Fay Shortt of 606-A 30. 13th St., Fort Pierce, Florida
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or naintenance of said Indignet or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
~ ~ Date Admitted• 11/22/74
; Date Discharged: 12/1/74
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f Number of Days: 9 at $ 72.16 per day = $ 649.44
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~ Less Credits None
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~ Amount of Lien $ 649.44
5
Dated at Fort Pierce, Florida, this :i~ day of
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~ March 19 75
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~ (Sig ture) _
~ . _ County Attorney
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~ (Title)
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; SWORN to and subscribed before me
this day of ~-~.~c~~ , 19 7.1 .
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~y Notary Public State of Florida Large - : ,
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My Commission Expires : : ~ - .
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