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NOTICS OF LIEN ,
STATS OF FLORIDA ~~~h3O
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COUNTY 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
Commissio~ers of St. Lucie County, Florida, claims a lien in the
amount of Six Hundred Seventy-four and 28/100
674.28 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
David Smith of 511 N. 31st St., Fort Piecce, 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:
Aospital: Fort Pierce Memorial
Date Admitted: 4/23/76
Date Discharged: 4/29/76
Number of Days : 6 at $ 112. 38 per day= $ 674. 28
Less credits None
Amount of Lien 674.28
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i DATED at Fort Pierce, Florida, this ,7,/ Sf day of
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{ March , 19 77.
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~ FILEO COUNTY FIA~ . '
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ROCER POITRAS
; CIERK C1RCU~T COURT (S gnature)
~ RECOPO YERIFIEO
~ aP~ c 10 19 AM County Attorney
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~ SWORN to and subscribed before.me
this day of __~Q~l.C.,(i , 19~.
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~ Notary Public State of Florid at Large - ~ _ , ~ ~ ;,A
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RALPN B~"/1LSOPL ST ~~:ci~ c~uNn , E:'~ ~s PacE 1 VtJ
COURTMOIiSE. FT. PIERGE, FLORIOA
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