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STATS O~F' FLORIDA ~ '
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CaU'LdTY OF ST. I,UCffi ~ ~ ~
NOTICS is hereby given that pursuant to the proviefone of
Chapter 65-2181, Lawa of Florida, Acta of 1965, the Board of Courity
Com~aissionera of 8t. Lucie County, Florida, claims a lien in the
~ amount of ` Ninety=three and 30/100 ~ . -
. . _ .
93.30 ~~llare against any real or~perscnal property or -
~interest therein preaently held or after acquired by '
~ (Name of
Melba Lipp ~ of 709 S. 3~rd St., Fort Pierce, ~'lorida
- Indiqent or Recipientj (Address) • ~
for money directly spent by St. Lucie County for the care, hospital- '
izat3on, sustenance or maintenance of said Indigent or Recipient ~
~ .
of welfare assistance, ae follows:
B~X~#sx Easter Manor Nursing Home -
Date Adniitted: 11/1/76_ ` ~
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11/6/76 `
Date Discharged:
Number of Days at $ 1 g_ 66 per day= q~
Less credits # None~
~ ~ Amount of Lien $ ~ 93,~30 _
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~ DATED at Fort Pierce, Florida, this day of ~
~ . ~ " -4_ _ .
so~P~pr • 19~_. - ~ .
~ - ( ignature)
~ ~ County Attorney -
(Title) ~
~
SWORN to and subscribed before me ~
this day of , 19~. .
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. Notary Public State of Florida at LargA.~.?-~:~~~~~~
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