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~ ST-IUCiE ~OUMTY f.l~.
NOTICE OF LIEN ROCEa ?OI~EU?S
CtERK Cti:CU~T COURT
P.E~ORD v:a~c1ED
STATE OF FLORIDA 265,746 ~i
COUNTY OF ST. LUCIE
265'~'46
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
amount of Three Hundred Thirty and 36/100
330.36 ) Dollars against any real or personal property ~
or interest therein presently held or after acquired by
Ervin Williams of 1806 N. 16th St., Ft. Pierce, Florida
(Indigent or Recipient) ' (Address)
for monev directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows:
Hospital: Fart Pierce Memorial
Date Admitted: 10/25/72
Date Discharged: 10/31/72
Number of Days: 6 at $ 55.06 per day = $ 330.36
Less Credits None
i
; Amount of Lien $ 330.36
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~ Dated at Fort Pierce, Florida, this day of
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~ October , 1973 .
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~ (Signa ure) •
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County Attorney
~ (Title)
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~ SWORN to and subscribed before me • .
this ~ day of , 19,~. _ . . _ -
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~F Notary Public State of Fiorida at L ge
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~~v M1~ Commission Expires : 7s~
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THIB INSTRUIdEY1T WAS PREPARED BY
~ RALPH B. WlLSON. ST. LUGIE COUNTY
COURTHOUSE. FT. PIERGE. FLORIDA ~ R~~^ ~
~ ~ BOC~I~ 7 PAt~ 7~
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