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1~2~~~ FILEO AND RECOROED ~
ST, ~~CIE COUNTY. FLA. ~
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1'72439
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&'~'ATS OF FLORIDA ~~~~~Q1TRaS
CL£RK ~tREUIT COURT
COGZ~'i'Y OF ST LUCIS ~ ~
NOTIC~ i~s ?~~~eby qiven that pursuant to the provision~ of
~!+apter 65-21g1, ya•~rs of Florida, Acts o~ 1965, the Board of County
Comnisaionere of St. Lucie County, Florida, ~lainie a lfets in tl~e
a.~unt of ~dred Forty-four and 14/100
~
244.14 )~llars aqainet any real or personal property or
intereot therein presently hel!! or after acquired by
Wiley Freeman o f 522 Means Ct. , Ft. Pierce~ Florida
indigent or recipient) (Addreas)
for mo^ep dirQCtl~ spent by St. Lucfe Co!~nty for the care, hoepital-
izati~n, sust~:z~ace or taair~tenance of said indigent or recipient
of w~elfare assistance, as followe:
Hoepitalt Fort Pierce Memorial
Date Ackaitted t ~/20/68
Date discharged: ~/26/68
Number of Days: 6 at ~ 40. 69 aay s$ 244.14
Lee• eredite None
Amount of Lien ~ 244.14
DATBD at Fort Pierce, Florida, thie ~ 8ay of November ~
19 68 ~
,
(S qnature) ~ ~
County Attorney
(Title) `
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d eubscr3bec3 before ~ae ~
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th3s~s day of , 19 6~
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' D~at~s~y'' pu~i i,c 6tate of Plorida t Lasqe ~ ~ ~
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THIS INSTRUMENT WAS PR6PAR[~ iY
RALPH B. WILSON. ST. LUCIE COUNIY
COUFiTHOUSE. FT. PIERCE. ,ELORlDA