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NOTICE OF LIEN
~~s
STATE OF FLORIDA
CaUPiTY OF ST. LUCIE
NOTICE is hereby~given that pursuant to the provfsions of
Chaptex 65-2181, Laws of Florida, Acts of 1965, the Board of County
~ 3
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Twenty-three Hundred Fifty-nine and 98/100
2359.98 ) Dollars against any real or personal property or
interest therein presently held or after_acquired by
(Name of
Frederick Munger of 3208 Kentucky Ave., 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
Date Aamitteds 1~22~~~
Date Discharged: 2~12~~~
Number of Days: 21 at $ 112.38 per day= $ 2359.98
;
Less credits None
Amount of Lien $ 2359.98
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i DATED at Fort Pierce, Florida, this ~,,~5~ r day of
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~ April , 19
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F lE0 AND RECOROEO ~
~ f~.IUCtE COUMTr FLA (Si ature)
aocER ro~tR~s
c! ~a~ c:RCU~T couaT
• v~ ~~Fi~4~._ County Attorney
APp 26 I 37 PM ~Title) ~
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~ SWORN to and subscribed before me ~~s ~
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this ~?~_day of . 19~~• ~
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