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NOTICE OF LIEN ~'=~t~~~u ti•E'
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STATE OF FLORIDA
COUNTY OF ST. LUCIE i
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 Nine Hundred Seventy-eight and 12/100 ~
978.12 ) Dollars against a~y real or personal property or
interest therein presently held or after acquired by :
(Name of '
Bertha Lee Smith of 1402 Avenue J, Ft. Pierce, Florida ~
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Indigent or Recipient) (Address) k
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: 3/26/76 ~ '
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Date Discharged: 4/6/76 ~
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~ Number of Days: 11 at $ 88•92 per day= $ 978.12 {
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3
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Less credits None
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~ Amount of Lien $ 978.12
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~ DATED at Fort Pierce, Florida, this ~~/Md day of
's
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~ July , 19 76.
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~ (Si ature) .
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~ County Attorney }
{
~ (Title) ±
SWORN to and subscribed before me .
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= this ~i3ii(G~ day of . 1,9~. ~
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- Notary Public State of Flor a at Lar-ge ~
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~ My Commission Expires 7~ Z
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