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NOTICE OF LIEN ~ .
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STATE OF FLORIDA ~ s '
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COUNTY OF ST. LUCIE.
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NOTICE is hereby given that pursuant to the provisions of :
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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 Seven Hundred Eighty-six and 66/100
786.66 ) Dollars agair?st any real or personal property or
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interest therein presently held or after acquired by
(Name of
Edna Blackerby of 22 N. Causeway Dr., 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
of welfare assistance, as follows: ~
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Hospital: Fort Pierce Memorial ~
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Date Admitted: 2/2/77 ~
Date Discharged: 2/9/77 ~
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• Number of Days: 7 at $ 112.38 per day= $ 786.66 ~
j Less credits None
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i Amount of Lien $ 786.66
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F DATED at Fort Pierce, Florida, this ,Ti/ ~ day of
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~ March 77 '
E , 19 . ~
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~ FILEO ANO REGOROED ~
ST.lUC1E COUNTY F~A.
~ ROCER POITRAS ~
~ RECORO YERI~F EO COU~.~..._..
(Si nature)
~ APR 6 10 ia AH'71 o t t 2
~ C un y A torney ~
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! SWORN to and subscribed before me . ~
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~ this day of _~C~l~~'~/ , 19~. .
E . ~C/ ~~,d~1 ` v` ' ~ .
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~ Notary -Public State of F1 rida t Large .
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; My Commission Expires : 9 ` ~ ' - - ~
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; .,~~~2~~6 748
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~ TH~S INS"rRUM~*ST WAS PRFPARFD BY ~ ~
° RALPN 3 WIL5~7;J. ~T L!'CtE G'~UNTY
! GOURTi10U5E, F7. PI~HCE. FLORIDA ~
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