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~ i1LE0 ~MO RECO~~E
~O gt. WCIE COUMTY 4 • ~
~OCEa PoljaAf
~ NOTICE OF LIEN CIERK C?RGUI~ C~~
ItECORD VER~f IEO ~
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STATE OF FLORIDA ~~r~o
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 ~
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amount of TM?o Hundred Two and 24/100
202.24 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Willie Mitchell of 3110 avenue D, 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 ~
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of welfare assistance, as follows:
Hospital- Fort Pierce Memorial
Date Admitted: 6/3/71
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; Date Discharged: 6/7/71
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Number of Days: 4 at $ 56.81 per day= $ 22~•24
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2 Less credits 25.00
j f Amount of Lien $ 2~2•24 ~
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~ DATED at Fort Pierce, Florida, this ~/v, day of !
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~ December ~ 1971
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(Si nature)
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43 County Attorney
(Title)
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SWORN to and subscribed before me ~ '
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;~Y this day of ~ . 19~. ~ - ~
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Notary Public State of Flori at Large
My Commissior~ Expires: / / :
' THIS tNSTRUMENT 1;AS P?EP~FrD EY ~ ~
= RALPH B. WILSOl~ ST L~_! ~IE C:'~frTY n~
- COURTHOUSE, FT. PIERGE. FLORIDA ~
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