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NOTICE OF L"IEN CLE~'r. ~~4:;,~~~ C.1RT
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Mas i8 10 os ~N'76
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STATE OF FLORIDA ~
COUNTY OF ST. LUCIE ~
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NOTICE is hereby given that pursuant to the provisions ot ~
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County ~
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Commissioners of St. Lucie County, Florida, claims a lien in the t
amour~t 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
Robert Butler of 1219~ Avenue I, Ft. Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
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i
ization, sustenance or maintenance of said Indigent or Recipient ~ i
of w~elfare assistance, as follows: ~
Hospital: Fort Pierce Memorial
I1ate Admitted: 12/24/75
Date Discharged: 1/10/76
Number of Days: 17 at $ 91.43 per day= $ 1554.31 ~
Less credits None
Amount of Lien $ 1554.31
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~ DATED at Fort Pierce, Florida, this ~ day of
March , Z9 76 .
' .
. (Si ature)
County Attorney
(Title) ~
SWORN to and subscribed before me ~
this ~ ~ day of 19~t.
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Notary Public State of Florid at:Large
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My Commission Expires: / 7~'~!'~;'t'=
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COURTHpUSE. t=T. PIT~-rZCCi, FLGF.IUr.
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