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NOTTCE OF LIEN ROLEt~ P4iTMt ?a
CIEt?K C~f'.CyIT
11ECORn YEkiclf0
STATE OF FLORIDA 26S`7S6 ~ "
COUNTY OF ST. LUCIE 26S`~Ss
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2~181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Six Hundred Sixty and 72/100
660.72 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Willie James Scott of 510 N. 22nd St., Fort Pierce, Florida
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as foliows:
Hospital- Fort Pierce Memorial
Date Admitted: 10/9/72
Date Discharged: 10/21/72 ~
~ vumber of Days: 12 at $ 55.05 per day = $ 660.72
~
Less Credits None
;
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i Amount of Lien 660.72
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~ Dated at Fort Pierce, Florida, this ~ day of
R
October , 1973
(Sign ture) •
~ . County Atmorney
(Title)
~
SWORN to and subscribed before me
3~' "
s~` this ~ day of ~(~~t~~~ . 1~~ . , ,
. . : '
~ - - J
~ -L l~ .1z~U'.~n~ _ i~ ' . :
~i Notary Public State of Flo ida at ge _
. • _
^ . • • ~ . `
~ ~~,y Comrnission Expires : /-oZ/ - ?y~ " ~
~ ~
~ . , , . -
RALPH B. WILSG~1. ST. ~ilC![= GJUtlTY
~ COURTHOUSE. FT. PIEACi=, f=LORIDA
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