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STATS OF FLORIDA ~
C~itSNTY flF ST. LUCIE .
NOTICE fe hereby given that pureuant to the prov~sione of
.
Chapter 65-2181, Lawa of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claime a lien ia~ the
amount of T~?o ~undred Seventeen and 14/100
217.14 ) Dollars against any real or personal property or
interest therein preeently held or after acquired by ~
~ ~ (Name of
Bessie Smally of 703 Dundas Ct., Fort Pierce, Florida
Indigent or Recipient) (AddreBS) .
for money directly apent by St. Lucie County for the care, hospital-
ization, sustenance or maiatenance of said Indigent or Recipient ~
of welfare asaistance, as follows:
HoBpita~: I''ort Pierce Memorial
Date Admitted: 8/31/76
Date Discharged: 9~3/~6
Number of Days: 3 at $ 112.38 = per day~ $ 337.14
Less credits 120.00
Amount of Lien $ 217.14 ~
a.
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~ DATED at Fort Pierce, Florida, this ,~i.~ day of
~ June ~ 19 77.
~T• Wwe aE Y ftA. ~ '
ROCER lO1fllAS ~
CIERK CIRCUIT C '
~.~pQ c-r~lYf!lIf1E~ (Si nature)
3'~uiw ~ .
~jN Z~ 1? AM~~~ County Attorney ~
(Tifle)
SWORN to and subscribed before me
this day of , 19~. . '
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~_::-',,.s~-~_ i.t -
' . -yZ:s• ~:`~~•li~~'
Notary Public State of F rida at Large-
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My Comiaf e s f on Expi ree : 1~ 7~
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THIS INSI'RU'~~F'IT Y745 !'7£f~t'ED Q~/ . ,~.~i..'~~
RALPH 9. Wt~SO~~. ~T. °_'S'",: C~~U"1TY
_ COURTHOUSE. Fi. P?ERGE. FL..ORIDA . ,
~ooK 27~ ~ 442 ~ ~