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NOTICE OF LIEN
STATE OF FLORIDA ~3`~~~`•t3
CO~)NTY 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. Llicie County, Florida, claims a lien in the
! amount of Thirteen Hundred Forty-eight and 56/100
~ ' 1348.56 ) Dpll~~rs ~c?ain •t an re~l or ersonal rooertv ar
~c . Y P P . _
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~ interest therein presently held or after acquired by
(Name of
St. Clair Brown of 510 N. 31st St., Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
I izatior,, sustenance or maintenance of said Indigent or Recipient
~ of_welfare assistance as follows: •
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Hospital: Fort Pierce Memorial
Date Admitted: 10/13/76
Date Discharged: 10/25/76
Number of Days: 12 at $ 11.2.38 per day= $ 1348.56
Less credits None
Amount of Lien $ 1348.56
DATED at Fort Pierce, Florida, this ~ day of
January 19 77
A111~ ~~rn f ' •
~ ~~R~~~RS (Si ature)
~ Q~1 Countv Attorney
,l~~ 2' a ~ (Title)
35#~~_ ~~3
SWORN to and subscribed before me ~
this / ~ day of ~x~- , 19 ~7.
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Notar:~ public State of Flori at Large ~
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I+;y Commission Expires: / "-Z/- 7~ ~ " ..i, ~ ~
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