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NOTICE OF LIEN c~ . i: c.~~~At
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Nov 1 I 9 io AM 't ~
STATE OF FLORIDA ^ 32~455
COUNTY OF ST. LUCIE '
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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 Fifteen Hundred Fifty-four and 31/100 " ;
1554.31 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Gladys Rosenberger of 2210 Delaware Ave., Ft. Pierce, Florida
- Indigent or'Recipient) (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 Memorial
Date Admitted: 8/8/75
Date Discharged: g/25/75
Number of Days: 17 at $ 91.43 per dayr $ 1554.31 '
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Less credits None ~
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Amount of Lien $ 1554.31 ~
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, DATED at Fort Pierce, Florida, this ! day of -
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~ November ~ lg 75 - .
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(Signature) ~
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I County Attorney ~
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~ SWORN to and subscribed before me
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I this day of G~C~-pr.c, L~ 19 ~c~ . ;
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~ Notary Public State of Florida La'rge` g_~ " ~
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~ My Commission Expires: 7~ ~ ~ = -
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