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NOTICE OF LIEN RECO~r vEkaiEO
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STATE OF FLORZDA ~ 8~ 6 4~ ~ ~
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COUNTY OF ST. LUCIE
NOTIGE is hereby given that pursuant to t23e provisions of
Chapter 65-2181. Laws of Florida, Acts of 1965, the Board of County ~
Commissioners of St. Lucie County, Florida, claitns a lien in the
amount of Eleven Hundred Sixty-seven anc~ 54/100
1167.54 ) Dollars against any real or persrnal property or
~ interest therein presently held or after acquired by
(Name of
Verdell Williams ef 901 N. 22nd St., Ft. Pierce, Florida
2ndigent 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: I2/16/70 .
Date Discharged: I~~~71
Number of Days: 22 at $ 53.07 per day= $ 1I67.54
' Less credits None
Au?ount of Lien $ I167.54
DATED at Fort Pierce, Florida, this •Z,3~~ day of
March 1971 ,
(Si naturej•
County Attorney i
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(Title)
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