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3045~0 i~~iUC~IE L~UN1Y FIA. ~ G ~
NOTICS OF LIEN IIOCE a: o~TR~S `
CLfRt G1: ~~U~1 COUIIT ~
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STATE OF FLORIDA 1'p~ Z6 ~ 43 NI'1 ~ 15
COUNTY OF ST. LUCIE
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NOTICE is hereby given that pursuant to the provisions of ~
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Chapter 6~-2181, ~aws Qf Flc~rida; ~1cts of 1955, the Board of County ~
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Five Hundred Five and 12/100
505.12 j Dollars against any real or personal property •
or interest therein presently held or after acquired by
T.Att i P _T~ HrvlnAa 1 no ir >>~z, na r.L ~
pt iV J a.. ~~..a, , r rie~ce, F-ioriaa
(Indigent or Recipient) (Address) - ~
for money directly spent by St. Lucie Count for the"care, hos ital- ~
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i
ization, sustenance or maintenance of said Indignet or Recipient ;
of welfare assistance, as follows:
Hospital• Fort Pierce Memorial ;
Date Admitted• 12/2~~74 .
Date Discharged: 1/3~75 ~ :
Number of Days: ~ at $ ~2•16 per day = $ 505.12
Less Credits None
Amount of Lien $ 505.12
~ Dated at Fort Pierce, Florida, this ~ day of
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March , 19 75 ,
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' (Sig ture)
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~ ~ County Attorney
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~ (Title)
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SWORN to and subscribed before me
this a~~ day of , 19 7~.
;
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Gc-ct.. ~
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~ Notary Public State of orida at rge
; ~ ~ a ~
; My Commission Expires y~ - 7~ Y~
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TH13 INSTRUM£NT V1/AS PRE?ARED DY BOyq~~ Q~24~
i RALPH B. WILSON. ST. LUCIE COUNTY
GUURTHOUSE. FT. PIERCE, FLORIDA ~
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