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352686 '
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i .IYCIE COUMTY~'t~
IEOCEA i01tItAS
NOTICE OF LIEN CLERK C+RCUIt C4U11T
RfCORO Y[Q'FIED
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COUNTY OF ST. LUCIE a~5i~~s
NOTICE is hereby given that pursuant to the provisions of
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County ~
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Commissioners of St. Lucie County, Florida, claims a Zien in the =
amount of ~a Hundred Sixty-four and no/100 ~
264.OU ) Dollars a9ainst any real or personal property or
interes~ therein presently held or after acquired by ~
(Name of
Ethel Smith of 427 No. 25th St., Ft. Pierce. Florida ~
Indigent or Recipient) (Address) '
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for money directly spent by St. Lucie County for the care, hospital- ~
ization, sustenance or maintenance of said Indigent or Recipient
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of welfare assistance, as follows: ~
Hospital: Fort Pierce Memorial '
Date Admitted: ~ut Patient Care ~
Date Discharged: - ~
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Number of Days: at $ per day= $ 264.00 _
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21 visits between 8/6/76 and 10/20/76 Less credits none ~
~to the Emergency Room for treatments. 264.00 ~
Amount of Lien $ -
iw
DATED at Fort Pierce, Florida, this f day of
December , 19 76 . ~
(Si nature) . _
- County Attorney
(Title)
SWORN to and subscribed before me
~.fiC~l.~ia.~i~ - v .
l-his ~day of , 19~„~-~ ~
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Notary Public State of Florida t Lari~e:"~'~~;.'.~~~~ ~j;~~
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My Commission Expires ; / ~-Z~-~,,~ r''• ;
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