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NOTIGB 0~ LIRN
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STATE Q~P' FLORIDA ~ ~
~ CQINTY OF 3T. LUCIB . '
~ NOTIC~ is hereby qiven that pursuant to the provisions of
. Chapter 65-2181, Laws of Florida, Acte of 1965,.the 8oard of County
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Con~nissionere of St. Lucie County, Florida, claims a lien in the
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amount Of Three Hun~d SeyentY-five_ ~~d 21 f~7 j~D
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375.21
Dollars against any real or personal property or ~
inter.est therein presently held or after aequired by
(xame og
Cheryl Lopes ~ . of 1116 Orr~nqe Ave., Ft. Pierce,Florida~'
Indigent or Re~ipientj. (Add~cess)
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for money directly spent by St. Lucie Cou~ty for~the-care, hosgital-
ization, austenance or mairitenance of said Indigent or Recipient ~
of welfare assietance, as ~ollows:
Hospital: Fort Pierce Memorisl _
Date Admitteds 6/z9/?7 .
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Date Discharged: 7/2J77
. Number of Days at $ 125 _ 07 per day= $ ~Z~,.
_ Less credits None.
~ Amount of Lien $
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DATED at Fort Pierce, Florida, this ZZ~~ day of -
Au9ust . 19_,1,~ ~
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cER Pa~ua ,
ctE~K c~acurr coust
VERtFIEO
(Si ature)
3'76~.95 Auc 13 2 p4 ~ t~~ • Couhty Attorney _
~ (Title)
SWORN to and subscribed before me ~
thls ~ day Of ~ 19~~~ s~ _
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Notary Public State of Flarida t Larqs , P~+
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My Commis s ion Expi res : / -1-l- 7y ~ : : ; , ~ . . _
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THIE INSTRttl1E'T \YAS PR_PP.R.£D DY • '•:~M~4~•;'~c•`
RALPH B. WlL~OY. S`i_ LL'~i= C:.~JIV'fY •
COURTHOUSE. FT. PI~RCE. FLG~IDA
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