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Home My WebLink About0057 _ c-. . - NRI'ICF OF LIFa~ STATE OF F~ORZAA cou~rr~ or s~. ~,ucr~ ~ NC~TIGE is herel~y given that pursuant ta the pr~viafonss of ~ Chapter b5-?].81, Laws of Floriaa, ~cts of 19b5, ~he Bc:ard of County • Commission~=a of St~ ~ucie County, Fl.~rida~. ci~aims ~ a].ien ir the amount of One Thousand Five and 73/lU0 . ~._E$~ ZaQS•73 ) Dollars against 3ny real or personal property . - - - - - _ - - . . . _ - _ , _ _ _ : . ~ or int~rest therein present~y held ar after ac~uixed by ` - FlorencP Green ~ ~of Avenue H& lOth St., Ft, Pie~ce, Florida , (I~digent or Recigient) _ ~Address) ~ for money directly spent by St. Lucie County for the care, hospital-• ~ ization, sustenanc~ or maintenance ~f~~3id Indignet or Recipi.ent ~ o£ we2fare assi5tance, as-followss ~ - , Haspital: ~ert Pierce Memorial. _ ~ ~ Date Ac~mitted: 3/4/75 _ _ - _ Date lli.schaxged: 3/15/75 - ~ _ - - Numher of Days: Zl.~ at $ g~•4~ per day $ 1005.7~ ` Less Credits No~ze _ _ „ Amount of Lien - $ ~005. 73 _ = Dated at F~rt Pierce, ~lorida, this ~ day o~ _ May - , lg 75 - _ ' . _ - _ ~ ~ £ ~rvf:~£~ s ~~;~~.r~;. ~~i~a.~ (5ignature) - . - 53. : :'i's;iC~' . -t -.~:-~~3 - ,.y~'' ;r,_ :~1 - '~i~ft~;= - . V...--~--°--~ ' County Attorney ; . M ~ g ~6-~'1~ ~T~ti~~ _ - , - - . - _ 30~9fii _ - - ~ - _ ~~~~WUR?1 to and subscribe3 be~ore me ' this ~ day of ! - , 19~~. - _ ; - ; - - ~ , ~ - - , - ~,,p z ,F lL/ • vC ,~l, r~/ : , i ~`r~. h I 1~ . Notary ublic S~ate of Fiori at La~ge,.~ ~ ~ ~ , F - - - - . - . • ~ ~ .R t ~ . - . . ~ ~~~~i~~~.. J- _ ~ ~ 2~~- ~ ~t~'`t~ 1': il~~' . : ` M,ir Commission Expires: - _ -'y; •~f> i . - ~r°. _~,~~-f~~'~i~~ - . ~ j • . . ' . = r V ~,ti~, • ' ' - . _ _ ,.~.Y • - _ _ . - " , J~ f!~ ^ " f ~ i~ v• ~ _ ~ 'fFitS INS'~RUMEPt]' ~YAS PREPARED BY ' ~ _ RALF+N B_ WN_s~ti. ST. LUCIE COUNl'Y ;.~'i~.~~~~.r~.:.. , - COURTHOUSE. FT. PlERC£. FLORIDA tt t ; ; Q ~ ~ . '''%r,:~~~~~~~1`-`' ~ " ~ BOOK PACE i _ . . _ . ' - - i - . .