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' . NOTICE 0~+' LIBDi . a3~Da~~$
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3T11TS QF FLORIDA ~
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NOTICS is hereby qiven that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acte of 1965, the Board of County
Commissionera of St. Lucie County, Florida,~claims a lien in the
amount of T~'~entY'8even Hundred Fifty-one and 54/100
2751.54 ~~llara aqainst any real or persanal property~ or
iaterest therein preaently held or after acquired by
~ (Name of
Alberta Lemons of 514 No. lOth St.. Ft. Pierce, Florida
Indigent or Recipient) (Address)
for mcney directly apent by St. Lucie County for the care, hoapital- '
ization, sustenance or maintenance of said Indigent or Recipient •
of welfare assiBtance, as followss
~ Hospital: Fort Pierce Memorial
- Date Admitted: 4/14/77
Date Discharged: 5/6/77 .
Number of Days; 22 at $ 125.0'Z per day= $ 2751.54
Less credits None
Amount of Lien $ 2751.54
DATED at Fort Pierce, Florida, this ~ 3 day of
' June , 19 .
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CIERK CIR6~~t CQU ( gnatnre)
acr7=~ V:AIf{EO ~
County Attorney
~UM Z~ 21 pM ~~1 (Title)
3'70305
SWORN to and subscribed before me
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this day of t,~...t~ , 19 . f
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Notary public State of F1 ida at La~.g+~';`~ '
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My Commisaion Expires s !-~"~/-7~ •':;~~.'•i: . . ' - ~
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THI! INSTRUMR?rT ~/A3 Pt'!EPARED QY
RALPH B. V'/ILSO"~. ST' LUCfc COUhiTY
' C~URTNOUSt„ FT, p1r~CE, FLORJDA d~~Kz~ PA~ • 45~ ,
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