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4:~..~bi'76
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NOTICE OF LIEN
STATE OF FLORIDA . ~
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of' •
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County !
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Commissioners of St. Lucie Connty, Florida, claims a lien in the ~
amount of Two Thousand Eiqht Hundred Thirty-two ar?d 72/100's
2,832.72 ) Dollars against any real or personal property
or in•terest therein presently held or after acquired by ~
Alzue Harris . pf 702 1/2 N. 15th St., Ft. Pierce, FL
~ (Indigent or Recipient) (Address)
for money directly spent by St. Lucie Cour.ty for the care, hospital-
iza~tion, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital- Jackson Memorial Hospital
Date Admitted: 4/27/78
Date Discharged: 6/14/78
Number of Days: 12 at $ 236.06 Per day = $ 2'832'~2
none ~
Less Credits
` Amount of Lien $ 2~832•~2
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~ Dated at Fort Paerce, Florida, this v~ day of
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o ~ . 19~.
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~ (Signat re)
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~ ~ County At ney
~ (Title) L:: r.': . ~::CORGf ~ }
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43~8'76
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~ Sk'ORN to and subscribed before me ;,9 ? ~ • ~ ~
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_ this ~ ~ day of ~.~~~c , 19~. ~
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Notary Public State of Florida at>• ~g~'
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~ My Commission Expires: i
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~ This insirument ~•.c; prc;~ased by ~ . ,
GEVIII J. A::~,~5 (1 R ~~GE 86~ c
St. L~cie Co.s~ty, %+~~~;<<...~:ot~on 31d~. . BOCK~ -
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Fon Pierce, t lorida =
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