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NOTICE OF LIEN qFCOR,1 ~E COURT~ /
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STATE OF FLORIDA
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COUNTY OF- ST. LUCIE ~
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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
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Seventeen Hundred Ninety-eight and 08/100
1798.08 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
' (Name of
Esther Hill of 2404 Avenue E, Ft. Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustec?ance or maintenance of said Indigent or Recipient
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Aospital: Fort Pierce Memorial
Date Admitted: 6/9/76
Date Discharged: 6/25/76 -
Number of Days: 16 at $ 112.38 per day= 1798.08
~ Less credits None
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1798.08 ,
f ' Amount of Lien $ ~
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f DATED at Fort Pierce, Florida, this day of
~ December ' , 19 76 , .
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~ (Sig (ature)
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~ County Attorney
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, (Title)
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SWORN to and subscribed before me
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this ~ day of , 19~:'~=`~;~~~ .
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4. ~ 1 • , • - ' ;
! Notary Public State of Florida at Large~ ' ~ ~ ' ~
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~ My Commission Expires /-a?-/- 7~ • : _ i' ~
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TNIQ INSTRUl.1E~lT ~<••4 PREPARED 8Y
RALPH B WIL50;J. Si. LUC,_ C.^.:1?:TY • ~
COURTHOUSE. FT. AiERGG, FLORI~A ii Q~~i•w A~I