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NOTICE OF LIEN ~fl~ C~'Cu~T t~1MT /
1tf.tORT Yf k~Frt~.__...~e~
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STATE OF FLORIDA _
COUNTY OF ST. LUCIE 3S~$
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 Three Hundred Ninety-two and 07/100
L
392.07 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
Name of
Alexander Allan of 151 Estia Lane, Port ~t. Luci~, Florida •
Indigent or Recipient) ~ (Address) -
for money directly spent by St. I,ucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient ~
or weirare assistance, as ioliows:
Nursing 8ome
Easter Manor
Date Admitted: 8/30/76
Date Discharged: 9~20~~6
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Number of Days: 21 at $ 18.67 per day= $ 392.07
~ Less credits None {
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~ ~
~ ~ Amount of Lien $ 392.07
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DATED at Fort Pierce, Florida, this L day of
~ December ~ , 19 76. ~ ~
(Si ature)
~ ~ County Attorney
~ (Title)
~
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~
; SWORN to and subscribed before me ~
s ~
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~ this ~day of ~~~~~/Y , 19~. ~
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~ Notary Public State of Florida Large ,.:y :
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` My Commission Expires: / 7 t~,r; •
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THI• INSTRUME~tT Y/A3 PREP.4RFp p~( ~
RALPH B. WILS~"J, ST.. UJC!E C7L r;TY , ~~Y pIC[