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STATS OF FLORIDA ~
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NOTICE is hereby given that pureuant to the provisione of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Comaaissioners of St. Lucie County. Florida, ~laime a lien in tihe
amount of Five Hundred Sixfy-one and 90/100 ,
561.90 ) Dollars against any real or personal property or
interest therein preser?tly held or after acquired by
(Name of ~
Charles Henderson of 524 Means Ct., Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care,-hospital- ~
ization, austenance or maintenance of said Indigent or Recipient ~
of welfare assistance, as follows: ~
Hospital: Fort Pierce~Memorial
Date Admitteds 1/1/77
Date Discharged: 1/6/77
Number of Days: 5 at $ 112.38 per day= $ 561.90
Less credits None
Amount of I,ien $ 561.90
DATED at Fort Pierce, Florida, thie ,Z3 day of
~ June ~ lg 77 .
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fT.L11~K~,C
u~I~TT=IA. (S gnature)
QOQE T~A
CI.ERR C1RCf11T C011~ County Attorney
arr.nk~ YER~fIED
.~Iq~l Z~ la ~~~t (Title)
SWORN to and subscribed before me
.
this .3,c day of , 19~.
. ,
~~i': ~3~~1 ltiY~s•
. `~c - ~~'~~1i'`'•. -
Notary Publfc State of orida at Lasge= ~ _
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My Commission Expires : 7~ " ;r~-~~ ~ }
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THIS IN3TP.`J•-0E•,7 v.,~s A:~r...~z~a BY q 443
RALAH H. WIL~~`l. ~T L~~~r~ r.~urrrY 60.LK~r~ PAGE
COURTHOUSE, FT. PiEF2CE, FLC~RIDA