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LUCIE : UUNTY F~A. `,~`1i)ll`!
RGvEF ~71iRAS
NOTICE OF LIEN CLfF:R C1; ~.UiT CCJRi
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STATE OF FLORIDA i;~~O;~O'~. /
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Latas of ~Florida, Acts of 1965, the Board of County
Co~;.,,issioners of St. Lucie County, Florida, claims? a lien in the
amou~it of Five Hundred Thirty-three and 52/100
533.52 ) Dollars again~~t an~~ real or personal property or
interest t3,erein presently held or after acquired by
(Name of
Eugene Loughney of 1206 Avenue B, Fort 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 follok~s:
Hospital: Fort Pierce Memorial
Date Admitted: 4/14/76
Date Discharged: 4/20/76 •
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! Number of Days: 6 at $ 88.92 per day= $ 533.52
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; Less credits None
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~ 533.52
Amount of Lien $
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~ DATED-at Fort Pierce, Florida, this ZZ a aay of ;
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~ July ~ 19 76 ?
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~ (Sig ature) ~
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~ County Attorney i
~ (Title) '
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~ SWORN to and subscribed before me .
3
this ~~t! day of , 19,.~.,
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~ Notary Public State of Flor' a at T~arge
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~ !~y C~T*.-4i~sion E•r.pires: 1~- 7~ '
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~ F`.~.,~i , . . _ _y, Z~5 PAGE 5c~'t ~
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