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NOTICE OF LIEN
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STATE OF FLORIDA ~3QUEj~j
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
Cammissioners of St. Lucie County, Florida, claims a lien in the
,
amount of Eight Hundred Twenty-two and 87/100
822•8~ ) Dollars against any real•or personal property or
interest therein presently held or after acquired by
(Name of
Blair Hein •of 5008 San Diego 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 Memori al ~
.
Date Admitted: 12/9/75
Date Discharged: 12/18/75
I Number of Da s• 9 at $ 91.43 per day= $ 822•8~ ~
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' F Less credits None
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€ Amount of Lien $ 822.87
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~ DATED at Fort Pierce, Florida, ,this ~ day of
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Idarch , 19 76. • .
~ (Si ature)
~
~ County Attorney
~ (Titlej ~
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; SWORN to and subscribed befo're me •
~
~-y, . f
th i s ~~y day of G~~( , 19 7~
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~ Notary Public State of Florid at Lar~e~ : ~ ~
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~ My Commission Expires: ~ . ` ~ _
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COURTHQUS~. Fi. i=~...i.~:_. i-i..r:ii.+A ,
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