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NOTICE OF LXEN 1G
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STATF OF FLORIDA 3j,~~~~ ,
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 ~
~ Commissioners of St. Lucie County, Florida, claims a lien in the
amount 4~ Seventy-two and 16/100 ~ ~
. 72.16 nollars a aic'st an real or ersonal ro ert
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. or interest therein presently held or after acquxred by
James Grace of 1208-B Avenue O, Ft. Pierce, Florida
. , (Indigent or Recipient)~ (Address)
~ f or money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance o~ said Indignet or Recipient ~ ~
of welfare assistance, as follows: -
_ Hospital: Fort Pierce Memorial- ~
~ Date Admitted- 10/19/74 -
Date Discharged: 10/19/74 ~
~ Number of Days: 1 at $ 72.16 per day = $ 72.16
. ~ Less Credits None
- - Amount of Lien $ 72.16 ~
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Dated at Fort Pierce, Florida, this Xr~ ~ day of - ~
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• . June ~ lg 75 _ i
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- (Sign ture} }
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' County Attorney . ~
(Title) ; ~
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- SwORN to and subscribed before - me ~ ' RC ~~q"~t ~
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~ ~INS COYR~ •
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this day of - 19 ~,1.
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Notary Public State of Florida at arge:, , s_ : 3~~.~~5; Y. -
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~ My Commission Expires: ~ - ~ - -
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- THIS INSTFtUMEN7 ~YAS PREAIIRED ~Y '~i
~ RALPH B. WIL50N. ST. LI:CIE COUNTY '''+:t~r.~~t ~ (l
~ COURTHOUSE. FT. PIERCE. FI.GfiIDA ~OOK~~V PAGF~~~.~~r
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