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NOTICE OF LIEN CLEN~.~ t:,',UtT p0ifi~T .
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STATE OF FLORIDA i3`~Or)n1_
CORINTY OF ST. ?.UCI~
NOTICE is hereb}• given that pursuant to the provisions of
Chapter 65-2181, I.a~•:s of Florida; Acts of 1965, the I3o~rd of County
Commissioners oL Sc. Lucic~ Cot::.~•.-, Florida, claims a lien in the -
amount of Thirteen Hundred Forty-eight and 56/100
1348. 56 ) i:~~:l' ~r,ain ~t ~ny real or personal properttT or
interest therein nreser,t~~.~ held or after acquired by _
(Name of
Dorothy S. Hatcher of 3104 Avenue L, Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directl spc~t~ S Lucie County for the care, hospital-
ization, sustenar.cc~ or r.iainLer,ance of said Indiyent or Recipient
of welfare assistance, as follows: -
Hospital• Fort Pierce Memorial
Date Admitted; 4/26/76
Date Discharged: ~~15/76
' 12 days paid
i Number of Days; 19 at $112.38 per day= $ 1348.56
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~ Less credits None
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~ Amount of Lien $ 1348.56
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DATED at Fort Pierce, Florida, this /Vd day of
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' July ~ lg 76 .
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~ (S ~ nature)
0
~ County Attorney
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; SWORN to and subscribed before me
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this ~it(/~ day of , 19 7~'~
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~ Notary Public State c_` F1 ida at I.arge - "
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