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NOTIC$ OF LISi~t Qtt R C~ Y~TRO~OYIIt t .
REC411011ER~f~Ep~
STATB OF FLORIDA ~ ZJ IO Oa ~M ~
COUN'I'Y OF ST. LUCIE
NOTICB is.hereby qiven that pursuant to the provisiona of
.
Chapter 65-2181, Laws of F2orida, Acts of 1965, the Board of County
Commissioners of St. Lucie County. Florida, claims a lien in the .
amount of Five Hundred Thirty and 70/100
530.70 ) Dollars against any real or personal property or
interest therein presently held or after acguired by
~ (Name of
Willie Lace of 1212 N. 17th St., Ft. Pierce, Florida
Indigent or Recipient (Addresa~.
for money directly spent by St. Lucie County for the care, hoapital- ,
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ization, sustenance or maintenance of patricia Lacey ~
. :
minor daughter o~ said Willie Lacey
(Relationship) ' ~
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as follaws:
Hospital: Fort Pierce Memorial
Date Admitted: 11/4/70
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Date Discharged: 11/14/70
Number of Dayss 10 at $ 53,07 per day = ~ 530.70
i
~ Leas Credit~ None
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` Amount of Lien $ 530.70
Dated at Fort Pierce, Florida, thie ~ day of January ,
~ 19 71 ~ .
_
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( gnature)
County Attorney
(Title)
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~ SWORN to and subscribed before me
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~ thie o2.s~'~ day of , ~9~.
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~ lic State of P ida at Larga
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••,~y 4 TM~f INBTRUMIFNT WAS rREPAREO oY
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r ~~y~•~`~ RALPH B. WILSON. 5'~ LUGI[ C')UtVTV
'i~ COURTHOUSE. FT. PIEFtGt=. f:.OS:::~A
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