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_ 31~~5 NOTICE OF LIEN ~ H;y~T
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STATE OF FLORIDA
COUNTY OF ST. LUCIE ' 31~78
NOTICE is hereby given that pursuan~ 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 af Ten Hundred Ninety-seven and 16/100
1097.16 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
$ugene Robinson of 431 N. 16th St., Ft. Pierce, Flor~da
Indigent or.Recipient) ~ (Addre~s)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 3/11/75
Date Discharged: 4/2/~5 i
~ (allowed) ~
Number of Days: 12 at $ 91.43 per day= $ 1097.16 ~
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Less Cl'@Ct1tS +~viac i-
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Amount of Lien $ 1097.16
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` DATED at Fort Pierce, Florida, this 9 r day of
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~ September, , 19 75.
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(S ~ gnature)
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~ County Attornev
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(Title)
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~ SWORN to and subscribed before me
~ this ~ day of , ,l`
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~ ~ ~~E~RY: - - ~
~ Notary Public State of Flori at~i~~,a~s
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My Commission Expires: ~~'".''~9~i:~ ~
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THIS INSTRUMEPiT 1NA3 PREPARED BY
'x~itilq'1Hi~~~ . •
RALPH B. WtL50N. ST. LUGIE COUNTY . t= '
GOURTMOU6E. FT. PIERGE. FLORIDA
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