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NOTICE OF LIEN ~EQORD YER % ~p
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STATE OF FLORIDA ~ 0 6 6 3 6
CO~JNTY OF ST. LUCIE ~
NOTICE is hereby given that pursuant to the provisions of
Chapter 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 Eighty-five and 42/100
($_~8,~,, 42 ) Dollars against any real or personal property or
i~terest therein presently held or after acquired by
~ (Name of
Walter Williams pf 2105 Avenue E, Fort pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenar~ce of said Indigent or Recipient
~
of welfare assistance, as follows:
Hospital: Fort Pierce Nlemorial
Date Admitted: 12/1/70
Date Discharged: 12/7/70
Number of Days : 6 at $ 53.07 p,~r day= $ 318.42
Less credits 133.00 (ins)
Amount of Lien $ 185.42
DATED at Fort Pierce, Florida, this ~oS~~ day of
March , 19 7I .
.
( gnature)
County Attorney
(Title)
SWORN to and subscribed before me
r,.
this sZ3 day of ~1fq;~,,~~ lg 7/
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Notary Public State of Florida Lar e =~"`•t T''; `R:~~~' '
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My Commission Expires: ' ,t, ~ 1 +
NQTAR? MIBIIC, STA1E OF F10R161L :~~r '
YY CQMMISBION EXPlRES JAN.".'~ . ' ' + ~ '
tH~s INSTRUMF~~T ~v~s PRro~nc0 rv ~D'~ 1HRU fHED W. DIESTEU{~1 ` ~t
RA~PH H. WlLSC~~. £T. LU~fc_ G"~,::.TY ' ,•.,n~ir~~~•
GOURTFIOUSE. FT. PIEFZC:E, FLC:i21DA 7~/ ~0e~ 4
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