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NCYJ'ICE OF LIEN C'f?K C~taf EO
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STATE OF FI,ORIDA 316491
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
CY,apter 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 Three Hundred Sixty and 80/100
360.80 ) Dollars against any real or personal property or
inter~st therein presently held or after acquired by
(Name of
Jerry Harper of 1542 Thumb point Rd., Ft. Pierce, Fla.
Indigent or Recipient) (Address)
for money directly sp~nt by Sr. 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: 8/8/74
Date Discharged: 8/13/74
Number of Days: 5 at $ 72-16 per day= $ 360.80
Less credits None
Amount of Lien $ 360.80
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DATED at Fort Pierce, Florida, this CJ ~ day of
S eptembe r , 19 7 5,
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(Si ature)
County Attorney
(Title)
~ S~~tORN to an~ subscribed before me
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Notary Public State of Flori at L'
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My Co:nmission Expires: /-Z/-7~~,r~.. Ug4,,~~`ti-~ . ,
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THIS INSTRUMENT 1iVA5 PREPAREO Bv ij~ ~
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RALPH B. WILSON. ST. LUGI_ C:~UNTY ~~~~ru'r`s+e'~''.
COURTHOUSE. FT. PIERCc. FLORSDA
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