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NOTICE OF LIEN C/ERK C1;~ClNTLQyRT ~
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STATE OF FLORIDA 31~9C
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CO~UNTY 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- Ten Hundred Ninety-seven and 16/100 ,
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1097.16 ) Dollars against any real or personaZ property or =
interest therein presently held or after acquired by
{Name of
Sue Leonard of SI1 No. 21st St., Fort Pierce. Fla.
Indigent 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 Piecce Memorial
Date Admitted: 4/13/75
Date Discharged: 5/24/75
(allowed) ~
Number of Days: 12 at $ 91.43 per day= $ 1097.I6 ~
Less credits None
Amount of Lien $ 1097.16
DATED at Fort Pierce, Florida, this f~
9 ' day of
September , 19 75. -
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~ (Si nature)
County Attorney
(Title)
SWORN"to and subscribed before me
this ~ day of r .
, 19-
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Notary Public State of Flor a at ~,aa~ge=~~~
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My Commission Expires: /-L/-- 7",~t~;~:~'~_ ~.•-t~;~
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THIS INSTRUMFNT 1NA3 PREPrRED BY ~Ill~t~+'~~~,
RALPH B. WILSON, ST. LUGIE COUNTY
COURTHOUSE. FT, PtERCE, FLORIDA
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