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NOTICS OF LIEN
. - 3~~3~09 ,
STATS OF FLORIDA ~
CdUt~1TY OP' ST. LUCIS
NOTICB ie hereby given that pursuant to the provieions of
Chapter 65-2181, Lawa of Florida, Acts of 1965, the Board of County
Comaaissionera of St. Lucfe County, Florida, claime a lfe~ in the
an?ount of Ten Hundred Eleven and 42/100 ~
1011.42 ) Dollars agafnst any reai or personal property or
interest therein preaently held or after acquired by
(Name of
Thomas Rivera - of Quanitas Camp, Fort Pierce, Florida
Indigent or Recipient) . (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of.said.Indiqent or Recipient
of welfare assistance, as follows=
Hospital: Fort Pierce Memorial
Date Admitted: 2~22~~~
Date Diachargecl s 3/3/97 ~
Number of Days: 9 at $ 122•3g per day= $ 1011.42
Lesa credits None
_ ~
c
Anwunt of I,ien $ 1011.42 '
DATED at Fort Pierce, Florida, this ~ 3 day of
Ju 19 ~ .
~
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cteaK c~acun ao - ~ F
nc~~f'~ VtpIFIEO " .
. AM' '
~t{N 2~ ~ ~ 22 ~ (s gnature)
_ a3~Q30g county Attorney
(Title)
.
SWORN to and subscribed before me
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this ~.3,c~L day of , 19~.. E
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Notary public State of Florid at L~x~: ~-=~4.`~ ~
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My Commission Expires: •s-/- 7~ -
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TN~4 fr~5:s:.?r~~. as ~-•.a _ r ' - ~
aA~PH e. wi~sor~. sT i_LC~. c~ur+r~ dO~K~ PACf 4~~
COUR7HOUSE FT. PIERCE. FLORIDA
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