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FtLE~ aM~ KtCORDEp l~' G
ST. WC~f COUNTY FLA. t
~ NOTICE OF LIEN ROCER fO~TRAS i
. CIERK C~f'CUIt COURT ~ ;
Pf.C4AD YER ~IE+J
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STATE OF FLORIDA ~ Z6 ~ 4~ AN ~1J
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COUNTY OF ST. LUCIE
~p~,~98 ~
NOTICE fa hereby given that pursuant to the provisions of
Chapter b5-2181, Laws of Flarida, Acts of 1965, the Boar~ of Caunty
:
Conunissioners of St. Lucie County, Florida, claims a lien in the
amount of Three Hundred Sixty and 80/100
360.80 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
irene inerroem pf 1~312 So. 31st St., Fort 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• For't Pierce Memorial
Date Admitted: 1/17/75
Date Discharged: 1~22/~5
Number of Days: 5 at $ 72-16 per day = $ 360.80
Less Credits None
Amount of Lien $ 360.80
Dated at Fort Pierce, Florida, this ~ day of
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March , 19 75 .
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E (Sign ture) ~
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E County Attorney ~
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; (Title) '
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SWORN to and subscribed before me `
' this oz~5~ day of `~'j ~-u~ , 19 7.5~
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Notary Public State of Florida at L ge
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{ My Commission Expires: 7~ ~ ~ ~C' .
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i TNtS ~r~srr.,~~~~•:T ~vas r~ca~,~~o r~r _ gOQ~~~ P~2487
? RALPH B. WlLS:~?~. 5T. LUC:~ C: U~:TY r`~ .
- COURTHOUSF.. FtT. Pii:rZCE, FLOR{DA
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