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3'7'~028'7
' NOTICR a!' LIEN
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ST~?TS 4F FLORIDA '
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NOTICB is hereby given that pureuant to the provisions of ~
Chapter 65-2181, Lawa of Florida. Acts of 1965, the 8oard of County
Commiseioners of St. Lucie County, Florida, clafine a lien in the
amount of Eleven Hundred Twe~ty-thrQe and 80/100
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1123.80 ) Dollars against any real or pereanal property or
interest therein preeently held or after acquired by
~ (Name of
Nina Ward pf 903-C No. lOth St., Ft. Pierce, Fla.
Indigent or Recipient) (Addreaej
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 follaws: _ -
Hospital: ~ Fort Piercg, Memorial ~ ~
Date Admitteds 2/10/7_7
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Date Discharged: 2~2~~~~
Number of Days: 10 at $ 112.38 per day= $ 1123.80
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Less credita None
Amount of Lien $ 1123.80
DATED at Fort Pierce, Florida, this ,Z 3~'~ day of
~ June , 1977 .
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~t~~ ~T ( ignature)
~r~~~^ YfRtf1E0
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Z~ aM~~ ' County Attorney
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SWORN to and aubscribed before me
thie ~,3 day of , 19
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Notary public State of Flo da at Larga ~ R:--'~+^. -
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My Commission Expiree: ]d' ~ .~;~~~#~}-:j~ _
TNIS INSTR~~v"t' ~.tAS PR~"^~~"~ °y f . `
RALPH 8_ WIL50^J. ; T. c' ",•;`i~iY .
GOUFZTHOUSB, t'T. P+LitG~:. F~-:~.~:J+A
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