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NOTICE OF LIEN E~ _ t::c~:.'kT
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. No~ 21 9 io AN'r5
STATE OF FLORIDA 3214~ ,
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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
amount of Nineteen Hundr~d Twenty and 03/1Q0
1920.03 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Dave Thomas of 510 N. 16th St., 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: 8/16/75 .
- Date Discharged: 9~6/75
, Number of Days: 21 at $ 91.43 per day= $ 1920.03
i Less credits None
I~ Amount of Lien $ 1920.03
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~ DATED at Fort Pierce, Florida, this ,t e~ day of
November , 1975 .
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(S gnature)
County Attorne~ _
(Title)
~ SWORN to and subscribed before me
th i s ~ J~~ day of l/ !"t-~-~ , 19 ~
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Notary Public State of Florida a arge , ~ ~ • . - - . ~
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My Commission Expires : % - 1~ P ' • ' • .
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6~~ PALE
RALPH 6. V~IL_,r>,d.'`:;. L~!C;~= :~J'iTy -
! COUR7HOUSE. F T. PIERC_, FLORiDA
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