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NOTICE OF LIEN ~oc:k'~~T1US
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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
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the E
amount of Thirteen Hundred Forty-eight and 56/100
1346.56 ) 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 County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
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~ Hospital: Fort Pierce Memorial
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Date Admitted: 9~2~~6
Date Discharged: 9/14/76
Number of Days: 12 at $ 112.38 per day= $ 1348.56
Less credits None
~ Amount of Lien $ 1348.56
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j DATED at Fort Pierce, Florida, this ~G day of
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December . 19
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~ (Si nature)
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~ County Attorney
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SWORN to and subscribed before me .
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this day of ~I , 19~.
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~ Notary.Public State of•Florida at arge ' ~
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TN13 INSTR:JME7:T VUAS PRr°'.^~~O HY ~ ~n,
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RALPH 9. WiL50N. ST !_L:~ r% U~ ITY Qn~ o~rr