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3'~289 ,
NOTICS OP' LIEN
STATS OF FLORIDA ~ •
Ct~tTi'iTY 4F ST. LVC~ .
NOTICE is hereby qiven that pursuant to the provisione of
Chapter 65-2181, Laws of Florida, Acte of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claime a lien in the
amount of Nine Hundred Forty and 49/100
940.49 ) Dollars aqainst any real or personal property or
interest therein~presently held or after acquired by ~
(Name of
Sanders Mc Elroy of 429 N. lOth St., Ft. Pierce, Florida
Indigent or Recipient) (Add~cess)
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:
Aospital: Fort Pierce Memorial
Date Admitted:~ 4~28~~~
Date Discharged: 5/5/77
3 out-patient visits 65.00
Number of Days; 7 at $ 125.07 per day= $ 875.49
~ - Total 940.49
Less credits None
Amount of Lien $ 940.49
DATED at Fort Pierce, Florida, this _ 1, ~~b day of ~
June , 19 ~'1.
~
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ClfaK CIRCUtT (Si ature)
3'70~9 : ~ vEa~f~fo
County Attorney
~UN 1~ 1? ~'11 (Tit1e)
SWORN to and subscribed before me
thiB ~3,c1_ day of , i9~;~ .
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Notary Public State of Flo da at L~ ` ~
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My Commission Expires: /-2/- 7~ ~
TMIS INSTRl1/dFF!'1' WAB PREPARED 0Y
RALPH B. ~`~ILSO'L ST. L~1r:l= CJIS`7TY
COURTMOUSE. FT. P1~f2G~. Ft.GiZ~7A
a~~x 2?0 441
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