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352693 ~~~~1l000E `'~n~ir~'r"~i~ ~
e~ERR C nCY TRC~O~YRT
NOTICE OF LIEN AfC~Rn yER~i~EO~
~c il 9 ~~!'16
STATE OF FLORIDA _
~ 352693
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-21g1, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of TM?enty-three Hundred Fifty-nine and 98/100
2359.98 ) Dollars against any real or personal__property or
interest therein presently held or after acquired by
Name of
Arthur Harris of 1231 Avenue D, Fort ierce, 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
or welrare assisLance, as i~Ii~ws:
Hospital: Fort Bierce Memorial
Date Admitted: 9/22~~6
Date Discharged: 10/13/76
Number of Days: 21 at $ 112.38 per day= $ 2359.98
Less credits None
,
' Amount of Lien $ 2359.98
~ ? .
~ DATED at Fort Pierce, Florida, this ~4 ~ day of
~ December ' ~ lg 76 ~
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f - (Si nature)
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~ ~ County Attorney
~ (Title)
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I
~ SWORN to and subscribed before me
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this 1~ day of , 19~,~~~c.=- :
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~ Notary Public State of Flori a at Large:~ -
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E My Commission Expires : - 4~"~` 'c:
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THIE IfJSTRUMFttT WAS PR~P~RFD tf~I •r•.,r..,. .
~ oel PN R WILSO`J. ST. L~~CS= :T~~ G c~t':., A/A