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NOTICE OF LIEN ~ ~
STATE OF FLORIDA ,
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of . .
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners af St. Lucie County, Florida, claims a lien in the ~
amount of One Thousand Nine Hundred Sixty-nine and no/100's •
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($,~9~9_no ) Dollars against any real or`personal property ~
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or in~erest therein presently held or after acquired by the estate of ~
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Bddie Gilbert , •of 801 N. 32nd St., Ft. Pierce, FL ~
(Indigent or Recipient) (Address) -
for money directly spent.by St, Lucie County for the care, hospital- i
ization, sustenance or maintena~ce of said Indigent~or Recipient
o£ welfare assistance, as follows: ~
~ Hospital:
Date Admitted: 8/3/78
Date Discharged: 8/14/78
11 179.00 1,969.00
Number of Days.:. at $ per day = $
Less CZed2ts none
~ ~ Amount of Lien $ 1, 969 . 00
this 28th day of
Dated at Fort Pierce, Florida, F
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NnvPmhe~r • 19~$_.
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(Signatur
County Attorggv '
(Title) . ~
~~~.ED ~"1G RECOR~ED'
!_~C~E ~aUNTI'. FLA. '
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SWORN to and subscribed before me 4i~a.'71 •
this ~ day of , 197~ . ~78 Q~~ 5 ~ ~ ~ ~ ~
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cL~R~ - `I
Notary Public State of Florida t Large
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My Commission Expires• a~ i9d-~ :
This instrLment was p~epared by ~ '
?.tViii J. ~+G~S ~
51. luue Co~nty, A~~n~cu,t:ation Bld¢ . ' i O R ~
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fort Pierte. t{or'~do ' 60Q~
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