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NOTiCE O~F LIEN g?.~~~,r, V~~'F~~~
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•10 JU,i 1 g aM . 9
STATS OF FLORIDA
~ F~ AS
COUNTY OF ST. LUCIS R0~- ,~~pURT
~L~RK C~RCW
NOTICB is hereby given that pursuar~t to the provisions of
Chagter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of One Hundred Seventy-aeven and 28/100
~ 177,28 ) Dollars~against any real or personal property
or interest therein presently held or after acquired by
. (Name of
Walter Johnaon of 3001 Avenue K, Ft. Pierce, Florida
Indigent or Recipient) (Address) . .
for money directly spent hy St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows: ~
- Hospital: Fort Pierce ~iemorial -
Date Admitted: 10/12/69
- Date Discharged:~ 10/16/69
Number of Days: 4 at $ 44.32 ~ per day.= $ 177.28
- Less-credits ~ None
' Amount of Lien~ $ 177.28 ~
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DATED at Fort Pierce, Florida, this ~ day of
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~ June , 1970.
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(Signature) ;r~' .
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County Attorne~C~
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SWORN to and subscribed before me ~ .~-'--.~•~~--~-y--``~-'_~~1'
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this ~ day of , 1970.
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Notar C~--~ ~,arq ~ ' ~ ~
Public State of F or $ `3:-' ' ~
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MIAEO 111~11 fR~ N ptESTE11~ORti • _
My Co:nmission Expires: • ~ '
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°o~C185 ~ ~55 . - ~ vt. .
TM~s u+sntuwcrrr w~s~ ~nee?waca sr s~ ~
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~ B. ST. WCIE COUNTY a .l, - .
COURTiiUUSE. FT. PIERC~. FLORIDA ,:~~~f1'l1w~
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