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ttlEO AM~ RECOROBO
:S1. lUC1E COUNTY #IIM. j
ROGER POITR~i t~
'CLEFiK CIRGUtT.CO1HIT
NOTICE OF LIEN RECORD.If~RIFi
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STATE OF FLORIDA ~1~~
COUNTY OF ST. LUCIE
NOTICE 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 Ninety-one ar.d 43/100 ~
91.43 ) Dollars against any real or personal property or
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interest therein presently held or after acquired ry ~
(Name of
Walter Williams pf 2105 Avenue E, Ft. Pierce, Florida ~
Indigent 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 ,
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Date Admitted: 3/17/71
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; Date Discharged: 3/20/71 ~
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~ Number of Days: 3 at $ 56.81 per day= $ 170.43
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~ Less credits 79.00
Amount of Lien $ 91.43
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DATED at Fort Pierce, Florida, this ZIr~ day of
~ December ~ 19 71 .
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- (Si nature) ~
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- . County Attorney
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- SWORN to and subscribed before me
this ~/r~o~ day of ~c,l.~/ , 19~.
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Natary Pub2ic State of Flor' a at Large
. M Commigaion Expires : / :L/ -
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RALPH B. ~1'i~5:~1~: L~~!_ C`':':'Y
COURTHOUSE. FT.~PIERGE, FLGR:DA
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