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i1lEQ ?K~ REC~a~EO
ST.LUCIExCP~
TaAS~A
ItOCE
~ NOTICE OF LIEN ~~ER vE t
f EO COU.~~~"
REC~a~
3 asy M•T~
STATE OF FLORIDA
COUNTY OF ST. LUCIE
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 Three Hundred Forty and 86/100 '
340.86 ) Dollars against any real or personal property or
interest therein presently held or after_acquired by
(Name of
Isaac Johnson of 812 N 17th St., Fort 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 ~
s Date Admitted: 6/20/71
` Date Discharged: 6~26/71
~
~ Number of Days: 6 at $ 56.81 per day= $ 340.86
~
Less credits None
~
~ ~ a Amount of Lien $ 340.86
- DATED at Fort Pierce, Florida, this ,ZIVO day of
3
~ December , 19 71.
~ ~
.
~ •
~~3 (Si nature)
County Attorney
- (Title)
= SWORN to and subscribed before me
= th i s ~/k,e(, da y of , 19 7/ . =
- s
= 1 ~
I
Notary Public State of Flor' a at Large ~
. . ~ - -
My Commission Expires: 7~L . . -
.
= TH16 INSTRUASF?ST \JAS PpE7AP.Efl Ell
_ RALPH B. WILSCi":. ST LI~C~= G~.'i~JTY
COURTHOUSE. FT. Yi<«~c. FLOR~DA
:
- : ~:=s' .