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NOTICE OF LIEN ~~~EiNC Ct^CYfT ~ODl~T
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STATE OF FLORIDA 316484
COUNTY OF ST. LUCIE
NOTICE is hereby given tl~at 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 Four Hundred Thirty-two and 96/100
432.96 ) Dollar~s against any real or personal property or
interest thereir~ presently held or after acquired by
` ~ (Name of
Robert Bolden of City Jail, Ft. Pierce, Florida
Indigent or ecipient~ (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: 11/20/74
;
Date Discharged: 11/26/74 ~
Number of Days: 6 at $ ~2-16 per day= $ 432.96
- Less credits None - ~
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~ Amount of Lien $ 432.96
F
i
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~ DATED at Fort Pierce, Florida, this __g day of
~ -
~ September , 19 75.
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.
(Si ature)
.
County Attorney
~ (Title)
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SWORN to and subscribed before me
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~
~ this _day of , 19~:~
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~ • - - ~ -
Notary Public State of Flori at:I,A~Q~, `:'AY f_..~1; :
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~ My Commission Expires: ' .~:..~:r~~i.~;,ti';-..
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THIS INSTRUHIENT 1NA3 PREPARED ~ '''~~~i C~ ~~t, O R 243 ~A~j~,16~
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RALPN B. WILSON, ST. LUC1~ ccuNr,r r~ 600K
~ CmURTHOUSE, FT. PIERCE, FLORiDA ,,f ,+,fi1:11+,''
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