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NOTICE OF LIEN
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STATE OF FLORIDA
COUNTY OF ST. LUCIE w~a36 t
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 Five Hundred Seventy-seven and 28/100
5~~•28 Dollars against any real or personal property-
or interest therein presently held or after acquired by
Priscilla Wrublasky of 1705 Fulton Dr., Fort Pierce. F or;da
(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
F
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 1/26/75
Date Discharged: 2~3/75
Number of Days: 8 at $ 72.16 per day = $ 577.28
Less Credits None
Amount of Lien $ 5~~'28
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Dated at Fort Pierce, Florida, this Z~j ~ day of
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~ April ~ 1975
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~ (Sign ure)
~ ~ County Attorney
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~ (Title)
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~ SWORN to and subscribed before me a;.- , C~~~T ~
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: this ~ ~1 day of , 19 ` . 11 ~1M~~~
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_ . , . ~ 306936
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~ Notary Public State of Flori • at La~'~;:
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~ My Commission Expires : - -1 = ~ ` ~o •i° ' : ~ - ~
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" THtd INSTRUMFNT {.YAS PR~a~ArD Ev ~ O R
~ RALPH B. WILSO~J. ST C' `:i`~TY BOCK238 pa~E2947
~ C'UURTHOUSE, FT. PICRCE. FLOF2IDA
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