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' NOTIC$ Otr LIEN
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3TA'TS OF FLOltIDA ~ ~
COtINTY OF ST. LUCIB ~ - - ~
NOTZCS ie~hereby qiveri thst pursuant to the provisione of
C'hapter 65-2181, Laws of Florida, Acts of 1965, the Board of County _
Commissionera of St. Lucfe County, Florida. claims a lien itz the
ataount of $ight 8undred Ninety-nine and 04/100
899.04 ) Dollars against any real or pereocial property or ~
interest therein preeently~held or sfter acquired by ~
(biame of
Rena Helton of 3510 So. Federal 8wy, Apt. 3
Indigent or Recipient) ~Address) Ft. Pierce, Florida
for money directly apent by St. I,ucie County for the care, hospital.- '
~T.
ization, sustenance or maintenance of said Indigent or Recipient '
of we2fare assistance, as follows:
Hospital~: Fort Pierce-Meinorial
Date Admitted: 3/14/77 ~
Date Dischargeds 3~22~~~ '
Nuniber of Daya : 8 at $ 112. 38 ~r day= $ 899. 04
, i,ess credits None
Amount of Lien $ 899.04
DATED at Fort Pierce, Florida, this day of
,
~ June . 19 7 7 . .
~T. `YCI~E ~ •
AOCER
PO~~~=
or C~~
R vERt~F1E0 (Si ature)
County Attorney
JuN t~l II 2o AM'1T 3,~Q3Q1 cTitle~
SWORN to and subscribed before me -
this ~~day of , 19~.
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~~~,F~ .
~ Notary Public State of FZ ida at LarqB ~
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: My Commission Expirea: /--Z/_ 7~ y> . i
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TI~I~J INiTFiUMENT WAS PREPARF_D OY `~%:7 . . - .
RALPH B. WI[.SON: ST. LUCIE COUNTY
~ COUftTHOUSE. FT. 1'IERCE. FLORtDA B~RK