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lE1~C1E COYNT~R~
ROCER ?a1TAA
. NOTICE ~ LIBN IIECOR0IRIERRFIEO .
. ~ . ~ 5 8 ~o AM'~i.
STATS OF FLORIDA
COUNTY OF ST. LUCIE 202895
~ NOTICI3 is hereby qiven that purauant to the provisions of .
Chapter 65-2181, Lawa of Florida, Acta of 1965, the Board of County f
Commisaioners of St. Lucie~County. Florida, claims a lien in the~ 4
amou~t of Seven Hundred Ninety-six and 05/100
796.05 ) Dollars against any real or personal property or
' .
interest therein presently held or after acquired by
(Name of
Willie H. Ball pf 2308 Avenue E, Ft, Pierce, Florida
Indigent or Recipient) (Addxesa) .
for money directly agent by St. Lucie County for the care, hoapital-
ization, sustenance or mairitenance of said Indiqent or Recipient .
of welfare asaistance, as follows: ~ ~
Hospital: Fort Pierce Memorial . ,
. . .
~ . Date Admitted: 9/5/70 . . . • .
- ~ Date Discharc~ed; 9/20?'7A , , . ~ ~ .
Number of Days s 1~: at 53.07 per day= $ 796.05
' , . , . , y ' .
- ~ . ' - Lesa credits None
~ ~ ~ ~ Amount of Lien 796.05 ~
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F DATED at Fort Pierce, Florida, this ~ day of .
~ . . .
~ ' January ,.19 71. . , .
.
. . . .
. . ~ .
• (Signature) .
~ County Attorney
~ ~ (Title) . ,
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TMt~ INf7RUMENT WA! IREPAREO 0Y 6~~ 189 ~ 8~
RALPH B. W~~ON, 5T. LUC!E COUNTY
GOURTHOUSE. FT. PIERCE. FLORIDA.
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