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NOTICE OF LIEN „F ' -:J`_~- ~`1
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STATE OF FLORIDA
321~~
COUNTY 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
Ei ht'Hundred Twent two and 87 100
amount of 9 Y-- /
g22•87 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Juanita Johnson ~ of 2202 Ave. E, Fort Pierce, Florida
Indigent or Recipient) (Address)
for mor.ey directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
-
or welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 8/6/75
Date Discharged: 8/15/75
Number of-Days: 9 at $ 91.43 per day= $ 822.87
' Less credits None
Amount of Lien $ 822,.87
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DATED at Fort Pierce, Florida, this ,ji~ " day of
November ~ lg 75
(S gnature)
! County Attorney
~ (Title)
SWORN to and subscribed before me
~ th i s c~ da of ~G,-ti .
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~ Notary Public State of Florid at Larg
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My Commission Expires: 7v ~ , °oi°' i "
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