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` NOTICE OF LISN REC4A0 vEAli1E0
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~ STATE OF FLORIDA
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the~provisions of
Chapter 65-2281, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Seven Hundred Forty-two and 98/100
~42•98 ) Dollars against any real or personal property or
interest therei~ presently held or after acquired by
- (Name of
- Willie J. Roshell of 515 Douglas Ct., Ft. Pierce, Florida
Indigent or Recipient) ' (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Fort.Pierce Memorial . .
Date Admitted: 10/9/70 -
• Date Discharged: 10/23/70 ~
Number of Days; 14 at $ 53.07 per day= $ 742.98
~ . Less credits None
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Amount of Lien ~42•98
DATED at Fort Pierce, Florida, this day of
January ~ lg 71 . ~
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(Si nature)
County Attorney
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My Commission Expires: '•2 -
' 11115 INfTRUMENT WA! M![PARED EY '
RAL.PH 9. WILSON. 5T. LUCIc COUNTY • ~~Q~ ~ Q~~
COURTHOUBE. F7. PIERCE. FLORI~A Q Q
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