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NOTICE OF LIEN ' ` ` ` ' ~ '~'~~T
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No~21 y o~aK'i~
STATE OF FLORIDA .
COUNTY OF ST. LUCIE v~~~SO
NOTICE is hereby given that pursuant to the provisions of ;
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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 Fifty-seve~ and_15/100
457.15 ) Dollars against any real or gersonal property or
;
interest therein presently held or after acquired by
(Name of
Doris Day of 620-B N. Dundas it., Ft. Pierce, Florida
Indigent or Recipient) (Address)
for~money directly spent b}~ St. Lucie County for the c3re, hospital-
~
Z
ization, sustenance or maintenance of said ~Indigent or Recipient~
of wel~are assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 7/12/75
Date Discharged: ~~17~~5
Number of Days: 5 at $ 91.43 per day= $ 457.15
~
Less credits None
Amount of Lien $ 457.15
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DATED at Fort Pierce, Florida, this ,ZB " day of
~ Novembe r , 1 g 7 5.
l
(Si ature)•
County Attorney
(Title)
~ SWORN to and subscribed before me
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this ~1~e y~ day of i , 19 7J ~
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Notary Public State~ of Flo a at La ~
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My Commission Expires: Y/- ~ _.'O. ~ ~ ~
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