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3164'79. NoTICE OF LIEN ~~ER
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STATE OF FLORIDA 31~7~
COUNTY OF ST. LUCIE
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 Eight Hundred Sixty-five and 92/100
) Dollars against any real or personal property or
865.92
interest therein presently held or after acquired by
(Name of ~
Eddie Hicks of 438 No. 15th St., Ft. Pierce, Florida
Indigent or Recipient) (Address)
for money diractly 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: 12/9J74 ~
Date Discharged: 12/29/74
(allowed) ~
Number of Days: 12 at $ 72.16 per day= $ 865.92
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Less crecxits ivone ti
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865.92 `
Amount of Lien $
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DATED at Fort Pierce, Florida, this day o£
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September , 19 75.
E
,
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(S ' gnature) ~
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~ County Atta~ney
~ (Title)
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~ SWORN to and subscribed before me
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~ this day of 19.~?f~,;, ~
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Notary Public State of Florida _ , o+~ F. '~s _
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~ My Commission Expires: ~~e~,c•
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~ THIS INSTRI;ME`7T WAS PRFPARED BY .
RALPH B. W(LSO~1. ST. LUG~: CCUlJZ'r
COURTHOUbE. fT. PIERCE. FLGRIUk
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