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. NOTICE OF LIEN
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STATE OF FLORIDA ~ 0 6 6 3 8 ~
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CO'[JNTY OF ST. LUCIE E
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 Fifty-nine and 21/100
~
159.21 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Herbert Welch of 2111 Avenue G, Ft. Pierce, Florida
Indigent or Recipient) (Address)
~
for money direct2y 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: 12/19/70
Date Discharged: 12/22/~0
,
,
Number of Days: 3 at $ 53.07 per day= $ 159.21
Less credits None
Amount of Lien $ 159.21
DATED at Fort Pierce, Florida, this oZ~ ~ day of _
March ~ 1971 .
t
~
.
(Si nature)
County Attorney
(Title)
. SWORN to and subscribed before me
~
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this al~ day of /~~c~ , 197/ s
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Notary Public State f Flori at Lar e •
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My Commi s s ion Expi re s s ~
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MY COtS~.la,.~G.t EXPi..ES Jl'M+ lij,~*~H~~ :
RALPFI B WILSON. 5T L~. C~'vP.7Y ~OtjO_0 If{inJ f.~ii~ W. D`: .fi~''.S/
GOURTHOUGE. FT. P~tFi F~OFtiDA /_1~ 7`/ +.~bO~K1~~ ~tiH
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