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NOTICE OF LIEN Fr~r:!` yf~." ~sl_,_,~
.?w.13 9 42 AM'76
STATE OF FLORIDA 3`~O~~~Z
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COUNTY OF ST. LUCIE ~
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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 Ten Hundred Sixty-seven and 04/100
1067.04 ) Dollars against any real or personal property or {
~
interest therein presently held or after acquired by ~
(Name of ~
June Schmidt of #1 Isabella Lane, 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 f
of welfare assistance, as follows: ~
Hospital: Fort Pierce Memorial
Date Admitted: 4/2/76
Date Discharged: 4/15/76
12 days paid r
Number of Days: 13 at $ 8g.92 per day= $ 1067.04 ;
• ~ Less credits None ;
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Amount of Lien $ 1067.04 ;
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DATED at Fort Pierce, Florida, this ~,r day of
;
July 19 76
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(Si ature)
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County Attorney
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Notary Public ~State of Florid at Large ~
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