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NOTICE OF LIEN ~fF.K CiaC~~p~T n
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STATE OF FLORIDA
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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 Three Thouasand Thirty-four and 26/100
3034.26 ) Dollars against any real or personal property or
interest therein presently held or after acquired by ~
Timothy Murray of 259 Easy St., 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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Hospital: Fort Pierce Memorial
Date Admitted: 9/18/76
- Date Discharged: 10/15/76
Number of Days: 27 at $ 112.38 per day= $ 3034.26
I Less credits None
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' ~ Amount of Lien $ 3034.26 ~
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DATED at Fort Pierce, Florida, this ~L r day of
December' , 19 76, .
1
(Si ature)
~ County Attorney
~ (Title)
I s
; SWORN to and subscribed before me
~ this /G ~ day of N 19
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Notary Public State of Flor da at I,~;qe~;,~
My Commission Expires: /-1-/-7~ , , ' I
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~ THIS tNSTRUlAET:? Y!AS P°~r'''~`~T-a BY . ' .
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