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3~491 NOTICE OF LIEN =T'~~~~ COUNTtr ilA. ~
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STATE OF FLORZDA ~~6 8 az AH ~7J • {
COUNTY OF ST. LUCIE ~~Q~,9~
NOTICE is hereby given that pursuant to the provisions of
i 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 TWO Hundred Eighty-eight and 64/100
288-64 ) Dollars against any real or personal property •
or interest therein presentl.y held or after acquired by
; Rosa L. Dowlinq of 440 N. 16th St., Fort Pierce, Florida~
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(Indigent or Recipient) (Address ~
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for money directly spent by St. Lucie County for the care, hospital- ~
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~ ization, sustenance or maintenance of said Indignet or Recipient ~
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E of welfare assistance, as follows:
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~ Hospital: Fort Pierce Memorial +
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! Date Admitted: 11/ 12/74
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~ Date Discharged: 11jI6j74
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4 72.16 Y = _ 28e.64 ~
Number of Days: at $ per da S
Less Credits None
Amount of Lien $ 288.64 ,
Dated at Fort Pierce, Florida, this Zs day of
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March , 19 75. ;
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, , (Signa ure)
County Attorney ;
(Title) ~
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SWORN to and subscribed before me
this ~ day of ~liit~c~, , 19 ~,j
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Notary Public State of Florida at arge ~,...;~.FI
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My Commission Expires:_ /-3-/- 7~ ~ , .
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THi3 INSTRUMF.l~T WAS PREPARED DY ' I;`
RALPH B. WILSO~I. ST. LUCI:: COUNTY
COURTHOUSE. FT. PIERCE. FLORIDA
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