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!T. ~UCIE COUNTY itA.
1lOCER POITItAS
NOTICE OF LIEN CIERK CI'tCU1T COURT
~lECORD VERti~EO~
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S'~ATE OF FLORIDA 35~~~ ~
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 Eleven Hundred Twenty-three and 80/100
1123.80. ) Dollars against any real or personal property or
interest therein presently held or after acquired by
.(Name of
Charlie Nicholson of 3010 Ave. D, Fort Pierce, Florida
Indigent or Recipie~t) (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
Date Admitted: 7/16/76 ~
Date Discharged: 7/26/,76
Number of Days: 10 at $ 112.38 per day= $ 1123.80
Less credits None '
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~ Amount of Lien $ 1123.80
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~ DATED at Fort Pierce, Florida, this day of i
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~ December ' 19 76 . ~
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' SWORN to and subscribed before me
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this ~day of ' 19~:1
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~ Notary Public State of Florida ; -~,~rrye. ~
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