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352698 iT ~UC
E COUNTY F~A. ~ v
ROCER POITRAS
NOTICE OF LIEN CIERK CrHCU~T COU~T
IIECORO ~ERtFiED~
O~c !1 9 ~o AM'16
STATE OF FLORIDA '
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~52698 '
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 ~
amount of Three Hundred Thirty-seven and 14/100
337.14 ) Dollars against any real or personal property or
interest therein presently held or after acquired by ;
(Name of ~ ~
Leonard Washington of 3512 Avenue L, 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
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VL tl1~C11QLC Q.~.71J{.Ci~la..c.~ a.aJ ivitV~..s. .
Hospital: Fo"rt Pierce Memorial
Date Admitted: 8/29/76 ~
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9/1/76 !
Date Discharged:
Number of Days: 3 at $ 112.38 per day= $ 337.14
~ Less credits None
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j - 337.14
F Amount of Lien $
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Ii DATED at Fort Pierce, Florida, this /L ~ day of
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~ December , 19 ?6. ~
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~ (S gnature)
~ County Attornep
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SWORN to and subscribed before me
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this ~ day of , ~19, `.r' ' ~E
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~ Notary Public State of Florida at LaXcf'e.: ~
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My Commission Expires: / e~? ~p
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