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2V~132 RaGC~ fQ~~It~s `
NOTSCE OF LiEN CL[a~ c;~LU~~ COURT ~
~fCrAr Vi:fi:ilEO
Oct 15 II 44 AM'73
STATE OF FLORIDA
COUNTY OF ST. LUCIE 265132
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 Eight Hundred ~aenty-five and 90/100 ~
825.90 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
William F. Peterson of 805 N. 4th 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 Indignet or Recipient
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 11/27/72
Date Discharged: 12/12/72
Number of Days: 15 at $ 55.06 per day = $ 825.90
Less Credits None
i
! Amount of Lien $ 825.90
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Dated at Fort Pierce, Florida, this ~ day of
October 19 73
.
,
(Sign ture)
County Attorney
(Title) -
~
~ SWORN to and subscribed before me
~
s
` this /.5~- day of G~ t''-~a~--~~. 19~. "
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~ Notary Public State of Flori~la at La e ~ _ = .
~ M Commission Ex ires - .
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THIS INSTRUMENT LVAS PRFPARED BY
~ RALPH B_ WILSON. ST. LUCic CUUP~TY
~ COURTHOUSE, FT. PIERCE, FLORlDA ~
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$~x219 ~2'~ .
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