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NOTICE OF LIEN
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3TATS OF FLORIDA ' ~
C~L~iSNTY L~F $'!'3 T
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NOTICE is hereby given tbat pureuant to the provisione of
Chapter 65-2181, Lawa of Florida, Acts of 1965, the Board of Couaty
Commissionere of St. Lucie County, Florida, claims a lien in the -
amount of $ight Hundred Ninety-nine and ~04/100
899.04 j Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Helene Pelmae pf 2705 So. 28th St., Fort Pierce, Florida
Indigent or Recipient) (Addresaj
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of.said Indigent or Recipient ~
of welfare assistance, as followsz
Sospital: Fort Pierce Memorial -
Date Admitted: 3/13/77
Date Discharged: 3/21/77 •
Number of Dayss g at $ lI2•3g per day= $~99.04
Less credits None
Amount of Lien $ gg9.04 '
DATED at Fort Pierce, Florida; this day of
June ~ 19 ~7.
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ClElt[ C1~qN~ ~
or- vERlflE4
(Si ature)
~llN 1~ i I a2 aH ~1~ County Attorney
~~~~8 (Title) "
SWORN to and subscribed before me ~
this day of , 19~.
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Notary Public State of F1 rida at La-Xc~~~"'
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My Commission Expires ~ 7,~ ` `
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TNIS IDlSTf?U•.1r•:r ~~/n5 PP.~P1Rr0 BY ~'r•
RALPH B. WIl50N. ST. L~Jr'!: C: ~LNl'r ~~i,~~ re.:,.1:~••`'~
GOURT}10USE, FT, PlERC:E, FLORlDA ~~f'~~"'
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