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3TATS OF FLORIDA
CWL~ITY OF ST. LUCII~ ~ . '
~ NOTICS is hereby qiven that pursuant to the provisions of
Chapter 65-2181, Lawa of Florida, Acts of 1965, the Board of County
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Com~a?issionere of St. Lucie County, Florida, claims a lien in the
amount of Sixteen Hundred Twenty-five and 91/100
1625.91 ) Dollars against any real or personal property or ~
fnterest therein presently held or after acquired by
~ . . (Nan~e of
Susan Harleas of 2408 Blossom Ct., Ft. Pierce, Florida
Indigent or Recipiet~t)- (Addreae)
for money directZy spent by St. I.ucie County for tlie care, hospital- ~
ization, sustenance or maintenance of said Indiqent or Recipient '
of welfare assistance, as followas
Hospital: Fort Pierce Memorial
Date Admitted: 4/14/77
~ Date Discharqed: 4~2~~~~ ~
Number of Days: 13 at ~ 125.07 per aay~ $ 1625.91
Less credits None
Amount of L~en $ 1625.91 _
DATED at Fort ~ierce, Florida, this ,Z,3 day of
June , 19 77.
~oC~ITAA~
GLERK CtRCUIt (S gnature)
~ rrrnr~n VE41FIE0
~UH 1~ 112o aN County -Attornev
(Title)
3'70299
SWORN to and subscribed before sae
this ~.3xd~ day of ~ , 19 -
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` Notary Public State of orida at Larqoa'~ i=;" f.;;,;~ ~ tiI" I
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My Camaission Expires s 7~ . ~ ~`'S
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TNi! 1?~t'TRU~.lFtlT 1NA3 PRFPARED ~
~ RALPH B. WILSON. ST. LUCIE GOUNTx ~ 451. .
~ COIiRTHOUSE. Ft, PiERCE. FLQRID~A, ~ dOOK
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