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NOTICE OF LIEN r~_t F. , : ~:1 C~URT 1~
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No~ Zi y ~o aH ~75
STATE OF FLORIDA
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COUNTY OF ST. LUCIE ~Z'~45~r t
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NOTICE is hereby given that pursuant to the provisions of f
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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 Eleven Hundred Eighty-eight and 59/100 ~
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1188,59 ) Dollars against any real or personal property or t
. interest therein presently held or after acquired by
(Name of
.~eorgia Jones of 1005-B Ave. G, Ft, pierce, Florida
Indigent or Recipient) (Address}
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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 Memarial
Date Acimitted: ~/14/75
;
. 7/27/75 ~
Date Discharged.
Number of Days: 13 at $ 91.43 per day= $ 1188.59
Less credits None
Amount of Lien $ 1188.59
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i DATED at Fort Pierce, Florida, this ,a -day of i
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November ~ 19 75,
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, (Signature)
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~ County Attorney ~
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~ ~taORN to and subscribed before me -
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Notary Public State of Flor' at Larq~.: ~ ~
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i My Commission Expires : y/ - 7 d'',~'•. ~ .
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