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2_L1i~0 CLEpK CE~+CU1i COURT ~
NOTICE OF LIEN R~CO~D rc~~~~EO.~.-~--
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SZ`ATE OF FLORIDA
21.1:1 ~O
COUNTY OF ST. I.ULIE
`OTICE is hereby given that pursuant to the provisions of
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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 Fifty-three and 07/100
53.07 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Willie Darden of 1409 Edgewood Terrace, Ft. Pierce, Fla.
Indigent or Recipient) (Address)
for money directly spent by St. Luciz County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows: '
Ilospital: Fort Pierce Memorial
Date Admitted: 10/13/7Q
Date}Discharged; 10/13/70
Number of Days: 1 at $ 53.07 per day= $ 53.07
Less credits None
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~ Amount of Lien $ 53.07
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DATED at Fort Pierce, Florida, this ~ day of
June ~ lg 71.
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( ignature) • _
~ County Attorney
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SWOF.:ti to and subscribed 'nefore me
ti-.is ~ day of , 19~.
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`otary Public State of Flori at Large , ~
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N~y Commission Expires: ..2 ~ T ~
TMSs INSTRUMrN? ~:AS PR~pAI~E'J ~ ~ ~
RALPH B. WILSO~I. ST L~:~~~ ~~~Nn ~~i93 iZ49
COI~RT1i0U6E. F?. PiEf2GE, FLOFtIDA