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NOTICE OF LIEN
STATE OF FLORIDA 36~~,~
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COUNTY OF ST. LUCIB
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
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Commissioners of St. Lucie County, Florida, claims a lien in the }
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amount of One Thousand Eleven and 42/100 ~
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1011.42 ) Dollars agai~st any real or personal property or 2
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interest therein presently held or after acquired by
, (Name of
Rena Helton of 510 S. Federal Hwy, A~t. 3
Indigent or Recipient) (Address) Ft. Pierce, Florida
for money directly spent by St. Lucie County for the care, hospital- #
ization, sustenance or maintenance of.said Indigent or Recipient
af welfare assistance, as follows:
Hospital: Ft. Pierce Memorial ,
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Date Admitted: 1/1D/77
Date Discharged: 1/19/77 ~
Number of Days: 9 at $ 112.38 per day= $ 1011.42
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Less credits None ,
Amount of Lien $ 1011.42
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! DATED at Fort Pierce, Florida, this ,~i:J day of
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~ April , 19 77. t
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ffLEO ~tMO RECOROEO ;
~ =T. IUCiE COUMtY Fl,e
pOCER POITRAS •
`t ~ , CLCRK CtRt~~T COURT ~
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E APF. 16 I 36 PH County Attorney ~
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SWORN to and subscribed before me ~
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this rZ~ day of , 19~. '
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~ Notary. Public State of lo da at L~tge' : , #
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