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NOTICE OF LIEN ~ UEC 0 YE~~?1~ •
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STATE OF FLORIDA
COUNTY OF ST. LUCIE ~
NOTICE is here?~y given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie Coun ty, Florida, claims a lien in the
amount of Four Hundred Fifty-four and 48/100
454.48 ) Dollars against any real.or personal property or
interest therein presently held or after acquired by -
~ (Name of
Donald Haggett of 733 Delaware Ave.. Ft. Pierce, Fla.
Indigent or Recipient) (Address)
for money directly spent by St. Z,ucie 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: 12/2/71
Date Discharged: 12/10/71
Number of Days: 8 at $ 56.81 per day= $ 454.48 ~
Less credits None
Amount of Lien $ 454.48
DATED at Fort.Pierce, Florida, this. day of
April , 19 72 . .
.
~ (S gnature)
County Attorney
(2itle)
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