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352689 ~
P ~NC_ RE~~~
ST• R~iE M3iMRA=
NOTICE OF LIEN CtE~x C;F~u~T C011RT
~IfCORD YEF~Ptfr~
Oec il 9 is AN '~6
STATE OF FLORIDA
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a~J~.VO~
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 ~enty-two Hundred Forty and no/100 ;
t
s
F
2240.00 ) Dollars against any =eal or personal property or ~
interest therein presently held or after acquired by ~
(Name of
Melba Lipp of 709 So. 33rd 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 ~
a
~F ~ol f~`o 'acc_etanrg~ aC fA~ ~ A~jf~ s ~
Nursing Home
~~~k; Easter Manor
Date Admitted: 7/1/76
Date Discharged: 10/31/76_
Mos. - month
Number of 4 at $ 560.00 per a~x~c= $ 2240.00
Less credits None
- Amount of Lien $ 2240.00
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f DATED at Fort Pierce, Florida, this ~G " day of
{
~
~ December • , 19 76 . -
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(Sig ature)
~
~ _ County Attorney
E ~ (Title) ~
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~
` SWORN to and subscribed before me
I . ~
i • ~'j i . ~
this ~ day of , 19~~,: s~ - . - ~
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`
; Notary Public State of Flori a at La~ge.`- . "
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t My Commission Expires: / ~1~~- ~ - ,
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THIS IfJS'P.UN,«:T ~~•AS P^~?ARFD E~Y - r'~- ~1 c
RALPH B YdILSU:~J. ST. LUCIE COUt:TY ~ wn~v /~7~ D~rC QQO
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