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NOTICE OF I~IEN Ct.rh!c C;' LU~1 CCURT
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STATE OF FLORIDA ~`~~~~j
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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
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Twelve Hundred Thirty-six and 18/100
1236.18 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Mary Hawkins of 2412 S. 39th 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 follows: ~
Hos ital• Fort Pierce Memorial k
P .
Date Admitted: 4/26/76 '
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Date Discharged: S/7/76 s
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Number of Days: 11 at $ 112.38 per day= $ 1236.28
. Less credits None
Amount of Lien $ Z236.18
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DATED at Fort Pierce, Florida, this ~ Z day of '
!
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July . 19 76 . ~
(Si nature)•
County Attorney
(Title)
SWORN to and subscribed before me _
this ~%l~~ day of , 19~,~ :
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Notary Public State of F rida at La~Xge :
:~Iy Commission Expires: ~~a~-
. . . - . - E";c PACE 5~
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