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~T. EUCIE COUNTY F~~
• ~QER POI1RAf
CLEIIK CIRCUIT COIMT
NOTICE OF LIEN RECOAO YElitilED~
J~t, 1 9 ii AN'1Z.
STATE OF FLORIDA ~WIG Vv~i ~
. ~
COUI~T~c' OF ST. LUCIE
NOTICE is hereby gi~~en that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Co:nmissioners of St. Lucie County, Florida, claims a lien in the
amount of Seven Hundred Ninety-one and 98/100
791•98 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
~ (Name of
Fred Donaldson of 603 N. 32nd St., Fort Pierce, Fla.
Indigent or Recipient) (Address) -
for money directly spent by St. Lucie County for the care, hospital- ~
ization, sustenance or maintenance of said Indigent or Recipien~
of welfare assistance, as follows:
S
Hospital• Fort Pierce Memorial
t
i
Date Admitted: 2118~~2
Datz Discharged; 3/3/72
;
' Number of Days: 14 at $ 56.57 per day= $ 791.98 ~ ~
I _
~ Less credits None •
~ Amount of Lien $ 791.98
DATED at Fort Pierce, Florida, this h~ day of
July , 19 72 , ~
.
, (Si nature)
County Attorney
(Title)
;
~ SWOFu~ to and subscribed before me
tnis J~R day of , 19~. : .
,
-i Notary Public State of Florida at arge -
Nd'TAR1 /WIICr S1ATE OF FIANIDA AT LANaL •
MY COMMISSION ExPiRE8 JAN. 21. 1974 .
:1 Comr:~ission Expires: eW1oED tHRU FeEU w. o~ESrE~HWttf
IiA P~H B. WILSON. STSLUCIE COUNTY ~00~~~ p~ ~
COURTHOUSE, FT. PIERCE. F'LORIDA
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