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316483 NOTICE OF LIEN cLt`EtK~C~~tCUtT•DDU1~
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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
amount of T~?o Hundred Sixteen and 48/100
t$ 216.48 ) Dollar-s against any real or personal property or
interest therein presently held or after acquired by
~ (Name of
Nancy Hansberry of Rt. 2,~Box 313, Ft. Pierce, Florida
Indigent or Recipient) ~ (Address)
for money directly spent by St. Lucie County tor the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows: ~
- Hospital: Fort Pierce Memorial
. Date Admitted: 2/4/75
Date Dischaxged: 2/~/~5
Number of Days: 3 at $ 72.16 per day= $ 216.48
~ None
Less credits ~
Amount of Lien $ 216.48
f ~
t DATED at Fort Pierce, Florida, this y'' day of
~ September , 19 75
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~ .
.
~ (Si nature)
~ County Attornev
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~ (Title)
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SWORN to and subscribed before me
~ .
y
~ this day of
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~ • ~ - ,T- ~ g~ R Y . ~
~ Notary Public State of F1 ida at•;~~irge. . i~=
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~ M Commission Ex ires : - ' Nr•~ ~ `I,G.`i
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~ THIS INSTRUMENT 1NAS PRE?AREO BY !~1~~~~jjjl:o~~''~ O R Q~
RALPH B. ~NILSON. S~. ~uc_:r c^ur~rt 800K PACf ~~OO
~ COURTHOUSE. FT. PiERCE. FLORIDA
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