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STATB OF FLORIDA ~ ' ~
COUNTY OF 3T. LUCiE ~
NOTICS fe hereby qiven that purauant to the provfsions of
Chapter 65-2181, Lawe of Florida, Acte of 1965, the Board of County
Commis$ionere of St. Lucie County, Florida, claims a 2ien in the
amount of Four Hundred Twenty-three and 80/100
423.80 ) DoZlars against any real or personal property or ~
interest therein presently held or after acqufred by
Edna Blackerb (Name of
Y of 21-No. Causeway Dr., Ft~ Pierce, Florida
Indiqent or Recipient) (AddresH)
_ for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient '
of welfare aseistance, as followa:
Hospital: Fort Pierce Memorial
Date Admitted: 9/10/76
Date Discharged: 9~20/76 -
Number of Days: 10 at $112.38 per day= ~ 1123.80
~ ~ Less credits 700.00
" Amount of Lien $ 423.80
DATED at Fort Pierce. Florida, this 23 day of
' June ~ lg 77 _ -
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~ It ?01 A~ (S ' ature)
c«aK ~aCU1T CouR . ~
:c+~r.a~ VERtfiEO
. County Attorney
~UN 1~ I I 19 ~~1~ (Title)
SWORN to and subscribed~~3 me
- this •~.3~ day of ~ , 19~... ; .
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Notary Publfc State of lorida at Large i - h~=.` ,
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My Commission Expfres: /-.2 ~ - Y~ ~ ~ ~ ~
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~ RALPN B. Wil_:.J:J. £T_ LU ~I~. CJUN'1Y
~ COURTHOUSE. Ff. PIERGE. FLdRiDA DO~~~M
~v PACE 445
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