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184~U~
FILED AND RECORDED ~
S'. LUC~£ C~JUNTY, F~N. ~
NOTICS OF LI$N , i$~;~~ . E
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STAT$ OF F`LORIDA ~ ~
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COUNTY OF ST. LUCIS • ~ ? ~'~:,S ;
CL~Ri~ ~~IRCUlT COURT j
NOT~C$ is hereby given that pursuant to the proviaions of ~
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Chapter 65-2181, Lawe of Florida, Acts of 1965, the Board of County
Con~aissioners of S t. Lucie County, Florida, claims a lien in the
amount of Five Hundred Seventy-six and 16/100
576.16 ~ Dollars against any xeal or personal property or
interest therein presently held or after acguired by
~ (Name of
Loria Williams of 2516 Avenue I, Ft. Pi.erce, Florida
Indigent or Recipient (Address~;
for money directly apent by ~5t. Lucie County for the care, hospital-
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ization, sustenance or maintenance of Joht2 Ashley Williams
,
minor san of said Loria Williams
(Relationshipj
as follaws: ~ ~
Iiospitals Fort Pierce Memorial
Date Admitted: S/9/69 -
Date Dischargeds S/22/69 - '
Nwaber of Days:_ at $ 44.32 per day = ~ 576.16
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~ Less Credits None -
~ 576.16
~ ~ Amount of Lien $
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Dated at Fort Pierce, Florida, thie ~ day of october~.
19 69 . ~ ~
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(Si AStUre) , : ~ y
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' County Attorney : . '
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SWORN to and subscribed before me ~ " ~ %
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Not~,r~~.-Pub~ tate of Flori at Larqe
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~ My, Co~amisgi~?fi!'~`Lxpires: ~7't 30 / 73 ~ "
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Ti11f 1!lSTRUMENT WAS PREPARED BY a R 180 ~~~~4
RALPH B. WILSON. ST. LUCIE COUNTY d~X
COURTHOUSE. FT. PIERCE, FLORI~A ~ ~
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