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NOTICE OF LIEN
24S'755
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 ~
F
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Z'welve Hundred Eleven and 32/100
1211.32 ~ Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Lucius Williams of 3103 Tropic Blvd., 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 Recipient
of welfare assistance, as follows: ~
Hospital; Fort Pierce Memorial
Date Admitted• a~~ i~2 ~
;
;
Date Discharged: 8~29~~2
t
- ~
Number of Days: 22 at ~ 55.06 per day= $ 12I1.32
Less credits Noner
~
Amount of Lien $ 1211.32
DATED at Fort Pierce, Florida, this 1~X~ day of
January ~ lg 73.
FILEO aECORDEO
ST.lUC1E COUNTY FLA. ~
ROGER PO~1RAS l~
CLERK CIRCUIT COUItT V .
RECOR'J VERIFIED~ (Signature)
~A11 ~6 ~0 2S ~~73 County Attorney
`~45~755 . (Tit~e~
;
SWORN to and subscribed before me
this .S~ day of 1~,~ , lg~, '
.
~
_ ~ ' ,
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Notary Public State of Florida t Large r~•r~;t': "
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Ky Commission Expires ~/-7~ s°"O' : - +
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TM~a INS'n?Ub!~ti7T \•~~3 PREAP.Z~D 6'y i
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COURTIi0U5E. FT. Pl~RC~. FLOF2lDA •
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