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NOTICE OF LIEN RFCORf V~R~r~Ep,,,~~,,,~~
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STATE OF FLORIDA 22~2~
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 1
amount of Thirty-four Hundred Sixty-five and 41/100
3465.41 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Willie Spivey og 438 Douglas Ct., Ft, pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sust~nance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
;
r Date Admitted: 5/30/71
s Date Discharged; ~/30/71 -
` Number of Days: 61 at $ 56.81 per day= $ 3465.41
Less credits None
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Amount of Lien $ 3465.41
DATED at Fort Pierce, Florida, this /.7 ~ day of #
January ~ Zg72 ,
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. (S gnature)
County Attorney
(Title)
Si~lORN to and subscribed before me
this day of ti,~t. , 19~. ' ` i
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Notary Public State of Flori at Large . ~ -
, , .
.
My Commission Expires : /
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THI• INiTAUMENT WA$ pR.°PqR~O EY ~ Or~~ ~
RALPN B. WILSON. 57. LUC(~ COU;:TY
COURTHOUSE, FT. PIERCE, FLOR1DA ~u ~
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