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NOTICE OF LIEN ~o~-" zR~S
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STATE QF FI,ORIDA ~ 16 ~7 42 AH ~7~ ~
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COUNTY OF ST. LUCIE }
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NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
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Commissioners of St. Lucie County, Florida, claims a lien in the ~
amount of Three Hundred Sixty and SO/100
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360.80 ) Dollars against any.real or personal pro ert • ~
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or interest therein presently held or after acquired by
Isaac Cowens of 1117 Avenue F, Fort Pieree, Florida
(Indigent or Recipient) (Address) ;
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for money directly spent by St. Lucie County for the care, hospital- i
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ization, sustenance or maintenance of said Indignet or Recipient ~
of welfare assistance, as follows: .
Hospital: Fort Pierce Memoiial
Date Admitted: 11/29/74
Date Discharged: 12/4/74
Number of Days: 5 at $ 72.16 per day = $ 360_80
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Less Credits None
Amount of Lien $ 360.80
Dated at Fort Pierce, Florida, this ~ day of
March , 19 75.
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x County Attorney
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E SWORN to and subscribed before me
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! this o~ day of ~G~~..ci1~/ . 19~.~
' Notary P blic State of Florida t Large ,,,;«3~;
My Commission Expires •f~
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THIS INSTRUMFN7 K•qg pR~pqREO BY
~ URTHOtlSE. FT. PIERCE,EFLORI A ' I' dOOK~~
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