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NOTICE OF LIEN
STATE OF FLORIDA '
COUNTY OF ST. LUCIE ;
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NOTICE is hereby given that pursuant to the provisions of ~
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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 Seven Hundred Thirty-one and 44/100
731.44 ) Doliars aga=nst any real or personal property "
or interest therein presently held or after acquired by #
Charles Nelson of 1503 Avenue I, 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
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 2/23/75
Date Discharged: 3/3/75
Number of Days: 8 at $ 91.43 per day = $ 731.44
Less Credits None
Amount of Lien $ 731.44
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i Dated at Fort Pierce, Florida, this day of
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$ April , 1975 .
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~ (Signa ure)
' County Atborney `
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~ ST LbL~L ~4~~TY FIA.
: SWORN to and subscribed before me ao~`'` ~R~s ~
~ CLL~~ LOURT
RFP^~o'~ Y' = F._.
this ` day of j_~ ( , 19 ` ~
- . - a~ 30 9 ii ~M •7~
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~ Notary Public State of Flar'da at Lar e " 3~.9a~
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.5 My Commission Expires / - ~ - '1 - ~ ~
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~ THlS INS'RJti'~':T .'A'= Pi:^"4^~O CY '
RALPH B. WILS'~•'J.,~T. L.~tC:l~ :.CU^iTY r , n R
~ COURTHOUSE. FT. F'iERGG. FLUitIDA • BOOK ~~V PACE 2~49
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