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NOTxCB OF' LIEN
STATS OF FLORIDA ~~;~'~+~Q '
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COUNTY OF ST. LUCIE
NOTICE ia 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
amount of Forty-six Hundred Seven and 58/100
4607.58 Dollars against any~real or personal property or ~
(
interest therein presently held or after acquired by ?
(Name of
Mittie Hargrove of Rt, 3, Box 49-D, Ft, Pierce, Florida
Indigent or Recipient) (Address) ~
for money directly spent by St. Lucie County for the care, hospital-
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ization, sustenance or maintenance of.said Indigent or Recipient ~
' of welfare assistance, as follows:
Hospital: Fort Pierce Memorial ~
Date Admitted; 1/8/77 - ~
Date Discharged: ?~18/77 - ~
Number of Days: 41 at $ 112.38 per day= $ 4607,58
Less credits None t
Amount of Lien $ 4607.58
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; DATED at Fort Pierce, Florida, this day of
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t April , 19 77. ~
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~ f LED AND RECORCE6 i
~ S~• L11CIE COUMTr F~~- • ;
ROCEIt P01TaAS ($i ature)
CLERR C+RCU~T CbURT ~ ~
j .F._ yraif4E0~
~ County Attorney ~
~ APR Zs ~ 36 PM ~T~ (Title) '
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SWORN to and subscribed before me v6~268
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this day of ~ , 19~;... - . 4
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~ Notary Public State of Flori a at Large~•, : ~ ~ `
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; My Commission Expires: r . . . . ~ ;
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