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NOTICE OF LIEN ttfRx C:~CWT t0~t
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STATE OF FLORIDA
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 4
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amount of Ten Hundred Ninety-seven and 16/100
1097.16 ) Dollar~s against any real or personal property or ~
interest therein presently held or after acquired by
(Name of
Chris Bryant of 1125 Lincoln Court, Ft. Pierce, Fla.
I~i3igent or Recipient) (Address) .
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: 3/29/75 .
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Date Discharged: 4/11/75 `
(allowed) `
Numbe•r of Days : 12 at $ 91.43 per da.y= $ 1097.16
Less credits None
Ainount of Lien $ 1097.16
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DATED at Fort Pierce, Florida, this 9~ day of
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~ September ~ lg 75
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(Si ature)
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~ SWORN to and subscribed before me
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~ this ~ day of ' L _ , 19
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~ Notary Public State of Flori at ~;-~ige ~ fl_., ; 47'
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My Commission Expires: .
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THIS INSTRUMFt+T 1:A5 PRt"?n'?[D DY 80011
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RALPH B. WILSON. ST. L'_;C1= C•'JU:~TY ' ,
COURTHOUSE. FT. PIERC:E. FiORFDA
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