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. NOTICS LIEN
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STATS OF FLORIDA
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3TY QF ST. 7~UCTS
NOTIC$ ie hereby given that pureuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board af County
Conuaissionere of St. Lucie County, Florida, claiiae a lien in the
a~aount of Seven Sundred Thirty-three and 96/100
733.96 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
8dna Hlackerby of 22 No. Causeway, Fort Pierce, Florida~
Indigent or Recipientj (Address) .
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient ~
of welfare asaistance, as follows:
. Fort Pierce Memoria2
Hospital. _
Date Admitted: 12/26/75
Date Discharged: I/12/76
Number of Days: 17 at $ 91.43 per day= $ 1554.31 ~-T
Less credits 820.35
Amount of Lien $ 733.96
DATED at Fort Pierce, Florida, this ~ 3 day of
' June 19 77 ~
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Y tQ C~~.~-
CLfAX CiaCW
~;~•;~~vE~~F~f~j County Attorney
z~ ll ~6 aH'~~ _ ~T~t~e,
SWORN to and subscribed before me
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this ~.3 day of
, 19,~,;~.. i
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Notary Public State of ida at Lat ~'~~'j
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My Commission Expires s /-.2 7~ ~•y~ ' .~~al~e'~; _ ~ -
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i. t -t.ti'•+~•.tr ~ vrA9 PR'PAREO 9Y • vV{lK~~ ~ 4~
RALPN H. WILSO:~, ST. LlJCIE COiJNTY
COURtHOUSE FT. PIERGiL, FWRirA
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