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NOTICS OF_ LIEN _
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STATS OF FLORIDA ~ ~
nA»J!r~t AF ST: LUCIS
NOTiCE is hereby given that pursuant to the provietona of ~
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Chapter 65-2181, Laws of Florida, Acta of 1965, the Board of County
Connnissioners of St. Lucie County, Florida, clafms a lien in the
amount of Six Hundred Twenty-ffve and 35/100
625.35 ) Dollars agairist any real or personal property or
interest therein presently held or after acquired by
_ (Naa~e of
David Moody . of 1003 N. 21st St., Fort Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital- ~
ization, suste~ance or nwintenance of.said Indigent or Recipient
of welfare assista~ce, as follaws:
Hospitals Fort Pierce Memorial
Date Admitted: 4/8/77 4/21/77
Date Discharged: 4~i~/~~ 4/21/77 ~ -
a. a
Number of Days; 5 at $ 125.07 per day= $ 625.35
Less credits None
Amount of Lien $ 625.35 ~ i
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DATED at Fort Pierce, Florida, this ~3 day of `
June , 19 . .
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atERK CIRCYIT COU (gig ature)
ec~na~ y~a1FIE0
~lit~t Z~ il z2 AM County Attorney
3rJ030~'1 ~Title)
SWORN to and subscribed before me ~
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this ,.~,3 day of , 19~. ~
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Notary Public State of Flori a at Largei '
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My Commisaion Expires : / .L/- ~ . ~t~': .
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THIS INSTR~JMr:'~ sa.ha ?n•,.Al1RED SY • .
RALPH 8- 1N1LSQ`L ~T : COUFiTY ~ R
COURTHOUSE FT. PIEriC:e,,, p~LOR10A OOK~~ 4~0
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