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NOTICE OF LIE~T . R,:co? Y{F.f ~En.r_
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SiATE OF FLORIDA ~i iC~(~
COUNTY OF ST. LUCIE
NOTICE is hereby given tfiat pursuant to the provisions of .
~
Chapter 65-2181, Laws af Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, ~laims a lien in the
amount of Sixteen Hundred Forty-five and 17/100
1645.17 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Daniel Nettles of ~620 N. 9th St., Ft. Pierce, Florida
Indigent or Recipient) (Address)
for mo:.ey 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: 12/Z5/?0
Date Discharged: 1/15/71
Number of Days: 31 at $ 53.07 per day= $ 1645.17 '
, Less credits None
~
_ ~ ~mount of Lien $ 1645.17
l
~ DATED at Fort Pierce, Florida, th~is ~ day of
June • ~ ly 7I .
- (S gnature)
. ~
- CoLr.ty Attorney
(Title)
SWORN to and subscribed before me _ .
~
thi:: ..2~ d:~y ot , 19~.
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Notary Public State at Florida a arge ~ '
My Commission Expires : -+4 ~ /9 ~ a.. _ ~ .
- '
THtf INSTRUM£NT WA~3 PR~PAR_ CY
RALPH B. WILSON. ST LUCiE G3:~NTY 0~
CAURTHOU6E F7. PIERGE, FLOr~iDA d~