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NOTICE OF LIEN
•3189~9 :
STATE OF FLORIDA '
COUNTY OF ST. LUCIE t
is hereb iven that ursuant to the provisions of ~
NOTICE y 9 P
Chapter 65-2181, La~,~s of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
~ Five Hundred Fort ei ht and 58/100 ~
amount of Y- 9
548.58 ) Dollars against any real or personal property or t
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interest therein presently held or after acquiren Dy i
(Name of
Catherine Catteralle of 601 Avenue B, Apt. 110, Ft. Pierce,
Indigent or Recipient) (Address) Florida
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or raaintenance of said Indigent or Recipient
of welfare assistance, as follo~NS:
Hospital: Fort Pierce Memorial
Date Admitted: 6/5/75
Date Discharged: 6/11/75
~ Number of Days: 6 at $ 91.43 per day= $ 548.58
I Less credits None
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k 548.58 -
~ Amount of Lien $ ~
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~ DATED at Fort Pierce, Florida, this ~ day of
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October ~ lg 75
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3'~-~`~99 ~f, (si nature)
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,~~~~x c County Attorney
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~ SWORN to and subscribed before me
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~ this day of . 19~~,~,:• ~ ~;%~i.~,-
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~ Notary Public State of Flori at Large _
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ion x ires ~ F~
~ My Commiss E p ~ .
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~ THtS ItIST^1171~~'T ~'f. y ~,7_',•.^n 9Y
RALPH B. Y~fL~O,`L 5-~ L ;;'.:,,;y ~M~
C(9URTHJUSE. FT. PiErtC:~. Fiu~tl`JA ~0~ ~A~~~
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