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I~OTICE OF LIEN a~Eq~t t' ;CUIT C4~?RT ~ ~
• Rf~QR~ YE~"F~EB
~ i0 10 lt ~!I'~5
STATE OF FLORIDA
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws o€ Florida, Acts of 1965, the Board of County
Commissioners of St. Luc~e County, Florida, claims a Iien in the
amount of Ten Hundred Ni~ety-seven and 16/100
1097.16 ) Dollars against any real or personal property or ;
interest therein presently held or after acquired by
(Name of
Marie Howell of 308 No. 20th St., Ft. Pierce, Florida
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 Pierce Memorial
Date Admitted; 5/I8/~5
Date Discharged: 6/3/75
(allowed)
Number of Days: 12 at $ 91.43 per day= $ 1097.16
Less credits ~None
Amount of Lien $ 1097.16
DATED at Fort Pierce, Florida, this g~ day of
September , 19 75.
~ (S igna ture)
County Attorney
~ (Title)
SWORN to and subscribed before me
this ~_day of , 19~_~ ~
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Notary Public State of Florid at L 't
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My Commission Expires: / -z/- ~0; ~.~g~,~G;:~':~'~'
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THIS INSTRUMENT WA9 PREPARED BY ~~~~~~`y~''~~.:1~,~';'~'.yti :
T2ALPH B. WtI.SON. ST. LUClE C:.UN7Y ~~ij. ~~~:i'->;;,L`` QOK~~~ PACE~7~
GOURTHOUSE FT. PIERCE. F~ORtDA ~~~~+ii;:;i~~~""~
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