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NOTICB OF LIEN
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STATS OF FLORIDA ~ ~ ~
nr~nu•nv ng !4T_ LUCig
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NOTICE ie hereby given that pureuant to the provisione of
Chspter 65-2181, Lawa of Florida, Acte of 1965, the Board of County
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Com~nissioners of St. Lucie County, Florida, claims a lien in the
amount of Fourteen Hundred Sixty and 94/100 ~
1460.94 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Eugene Loughney of 1206 Avenue B, Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or n?aintenance of.said Indigent or Recipient ~
of welfare asaistance, as followe:
. ~iospital: Fort Pierce Memorial
Date Admftted: 2/23/77
, Date Discharged: 3/8/77 ~ ~
Number of Days: 13 at $ 112.38 per day= $ 1460.94
• Less credits None
Amouet of Lien $ 1460.94
DATED at Fort Pierce, Florida, this day_of ~
June ~ lg 77 .
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E~ rott~= (Si ature)
ctE~~c c~acv+t coun
•;u-~ YfR1FtE0 County Attorney
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SWORN to and subscribed before me ~
tt~is ,3 i day of 18,~.
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Notary Public State of Flor' a:ax~ ~aic:ge
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My Commission Expires: /-,2/-7/ ~~r.~;'•;~.~ '~~}k"=
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TN1s IN57RUNIFNT WAS PREPARED oY ~~~j
RALPH B. WILSON. ST. L:.:Cic C:~J~7TY Q~K2~ p,~rp
' COUfiTHOUSE. FT. PIi:RGE, FLORi~A ~r ~^v~
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