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NOTICE OF LIEN ~<<~,`.. : t~~Rt
NaY 11 9 0~ AN'~~ a .
STATE OF FLORIDA
3~1442
COI.TNTY 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 Four Hundred Ninety-five and 54/100 ~
495.54 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
~ (Name of
Renee McCoy of 2705 Booker St., Ft. Pierce, Florida
Indigent or Rec~pient) (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 Merriorial
Date Admitted: 10/2/72
Date Discharged: 10/11/72
Number of Days: 9 at $ 55.06 per day= $ 495.54 }
~ Less credits None
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~ Amount of Lien $ 495.54 "
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DATED at Fort Pierce, Florida, this ~j0 ~ day of
November 1~ 75 ~
.
.
(S ignature)
~ County Attorney
(Titlej
~ ~
SWORN to and subscribed before me ~
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this ~ o day of ~-,.-~,.~,,,,L~ , 197.}~ • . ~
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Notary Public State of J Florida t Large- _
My Commission Expires: ~Y ./y,.~' ~~~j~~~~, ~
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