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ST.~+~KI[ GtrW~Y iLA.
NOTICE OF LIEN OGfR jt~IT~~~
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STATE OF FLORIDA ~ 1O 9 2i ~~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 ~ Hundred Seventy-seven and 28/100__ _
577.28 ) Dollars against any real or personal property -
or interest therein presently held or after acquired by
Larry Rivers of 924 Avenue D, 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- 11/9/74
I Date Discharged: 11/17/74
j Number of Days: 8 at $ 72•16 per day = $ 577.28
E .
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~ Less Credits None
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~ Amount of L ien $ 577.28
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3
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a ~j ~ day Of
~ - Dated at Fort Pierce, Florida, this
~
~ March • , 19 75
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a •
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~ (Signa ure)
~ ~ County Attorney
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(Title)
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~
SWORN to and subscribed before me
_ this ~ day of ,~~~-~~i . 19 ~ J.
;
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~ Notary Pub'lic State of Florida a Large :
~ . • ~
_ My Commission Expires / yf,:••. " ~
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