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NOTICE OF LIEN
STATE OF FLORIDA 3SS~`'~8
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
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Chapter 65-2181, Laws of Flor rda, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of ~ree Hundred Thirty-seven and 141100
337.14 ) Dollars against any real or personal proper~y or
interest therein presently held or after acquired by
(Name of
Ben C. Miller, Jr. of 214 St. Lucie Ave.-, Ft. Pierce, Fla.
Indiyent or Recipient} ~ (Address) ~
for money directly spent by St. Lucie County for the care, hospital-
izatian, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Ft. Pierce Memorial
Date Admitted: 10/25/76
Date Discharged: 10/28/76
Number of Days: 3 at $ 112.38 per day= $ 337.14
Less credits None
Amount of Lien 337.14
DATED at Fort Pierce, Florida, this ~ g~ day of
- January ~ 19 77
filEO AKD uN7Y ft~ ~
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C1t11~ C R6UIT CO
{Sig ature)
~ ~ ~ RE~~ YEIUf1E0
•3~j~j- J~~ ~ 1~ a~~~ County Attorney
(Title)
SWORN to and subscribed before me
th i s day of ~Cc , 19~. ,
.
. .
~ . . • ' • • '
-
Notary Public State of Flor~ a at Large
1~iy Commission Expires : / - L/ - ~y ~
TF,<< , - - ~ 8oQx2~3 ~ 479
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