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NOTICE OF LIEN ~
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STATE OF FLORIDA ~
COUNTY OF ST. LUCIE -
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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 Twenty-nine Hundred Seventy=six and 55/100
2976.55 ) Dollars against any real or personal property or ~
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interest therein presently held or after acquired by ~
(Name of
Lillie Sandifer og 2002 Avenue M, Fort Pierce, Florida ~
Indigent or Recipient) (Addressj
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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:
Iiospital: Fort Pierce Memorial ~
Date Admitted: 11/21/76
Date Discharged: 12/20/76
actual ~
Number of Days: 29 at $cost ~C~ $ 2976.55 ~
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Less credits None
! Amount of Lien $ 2976.55
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i DATED at Fort Pierce, Florida, this a/ s~ day of ;
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(Title) ;
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E SWORN to and subscribed before me '
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~ this o7~~ day of /il~~.~ . 19~• #
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Notary ublic State o Florid at Large • '
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~ My Commission Expires: ~ . : '
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TM'S INS+P.I:lM~`tT 1N.A5 PR£P7?RED SY ` i
RALPH Ej WiLSU^L ST LliCl~ COLSIVIY 3
COUR7HOUSE. FT. PiERCE. FLORfDA . ~
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