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NOTICE OF LIEN
STATB OF FLORIDA ~s~~:~
CaJNTY OF ST. LUCIS
NOTICE is hereby given that pursuant to the provisions of f
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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 lfen in the ~
amount of Fifteen Hundred Seventy-three and 32/100
1573.32 ~ Dollars against any real or personal prop~erty or ~
interest therein presently held or after acquired by
(Name of ~
Wordie C. Campbell pf 635 N_. 2nd St., 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:
Hospital: Fort Pierce Memorial t
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Date Admitted: 2~9~~~
Date Discharged: 2~23~~~
Number of Days: 14 at $112.38 per day= $ 1573.32
i Less credits None
Amount of Lien $ 1573.32
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i DATED at Fort Pierce, Florida, this ,13 ~ day of
April 1977 _ _
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F~~UCIE COUMf
Y f
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5~. ROCEN P011~1A5 ~ •
I c c s. C: R CUIT COUat ~
~ . ~ - r.~. c i E O~ ~ S i n a t u r e)
~ Pp 26 ~ 3b PM 364.2 County Attorney
A (Title)
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; SWORN to and subscribed before me • ~
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this ~43 day of , 19~. '
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~ Notary Public State of F or a at L~ g~~-~ • ~
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ii My Commission Expires L/ ./~i.~'~,~ " ~
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Rnc_r-;~ e : , , . ,.c~,.sTY .
~ COUF27HU1~S::, F~. i-,:..ii:.L, f ~..~::.~A •
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