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NOTICE OF LIEN
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S TATE OF FL ORI DA
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V vIG ~.'7d
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 Twenty-two Hundred Forty-seven and 60/100
2247.60 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Annie Mae Woods of 521 No. 24th St., Ft. Pierce, Fla.
Indigent or Recipient) (Address)
for money directly spent by St. Lucie Coun-~y for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
va ii~~iu~a°,. u°u~u±3::.^..°.~ ~ ~:d.c.:
Hospital: Fort Pierce Memorial
Date Admitted: 9/17/76
Date Discharged: 10/7/76
Number of Days: 20 at $112.38 per day= $ 2247.60
~ Less credits None
, -
i ~ Amount of Lien $ 2247.60
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DATED at Fort Pierce, Florida, this ~G ~ day of
~ December' , 19 76 . ~
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~ (Si ature)
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? ~ County Attorney
~ (Title)
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SWORN to and subscribed before me . ~
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this _~day of ,~u~~Cl,~,c~ , 19~•:~
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~ Notary Public State of Florid at Large •
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My Commission Expires : - 7~ , : . ~ . _ •
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THis IN3TRUF!~'iT WAS PT~Lp11RF0 0V ~ ~
Os1 olJ 0 Ul1/ G'ltJ CT 1 1 i!'.IF" !"(l: IA:TY V ~