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NOTICE OF LIEN
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STATE OF FLORIDA
COUNTY OF ST. LUCIE "
NOTICE is hereby given that pursuant to the provisions of
Chapter b5-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of TWO Hundred Twenty-four and 76/100
(S 224•?6 ) Dollars again:-t any real or personal propert~~ cr
interest ~herein presently held or after acquired by
(Name of
Juanita Jones of 2407 Royal Palm Dr., 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
of welfare assistance, as follows:
Hospital: Ft, Pierce Memorial
~Date Admitted: 11/9/76 '
Date Discharged: 11/11/76
Number of Days: 2 at ~112.38 per day= $ 224.76 ;
Less credits None
Amount of Lien $ 224.76
DATED at Fort Pierce, Florida, this day of
January , 19 77. _
f LEO ~MO RECOROE~
~~.lUC1E C4UNtY ilA_
ri ROCER POITRA$ •
35~~~ ` IlEC4RDVENRfiEO C~~RT (Sig ature)
.~1;'~ 1l 8 1~ QH Coun ty Attorney
(Title)
SWORN to and subscribed before me
this day of , 19~.
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Nctary Public State of Flor ' a at i,axge~'~
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My Commission Expires: 7 y ~ - ~ . ~ ~
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