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NOTICE OF L~EN E~~ ~i ` CCi~At '
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~ ~uur 18 ID os AN '16
STATE OF FLORIDA i3i.~OOE~~~ (
- COUN~'Y 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-t~L~`
amount of Four Hundred Fifty-seven and 15/100
457.15 ) Dollars against any real or personal property or
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interest therein presently held or after acquired by
(Name of
Mildred Fulwood of 2621 So. 26th 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 foZlows: ~
F
Hospital: Fort Pierce Memorial
Date Admitted: 1/2/76
Date-Discharged; 1/7/76
~
I~Tumber of Days; 5 at $ 91.43 per day= $ 457.15 ~
Less credits None
Amount of Lien $ 457.15 s
DATED at Fort Pierce, Florida, this ~ day of
March ~ lg 76.
.
(Sig ature) •
County Attorney
(Title)
SWORN to and subscribed before me '
this ~ ~ day of ~G~~~ , 19~.
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~O . ;v ,
Notary Public State of Flori at Large ~ .
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My Commission Expires: /-.2-/-~~ .
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