HomeMy WebLinkAbout2013 " FIIED A~`-, ?ECOROE~
268U12 ST. ROG~Ea FU
HRAS`A
Clf.Fti ~~1~IT COURT `
NOTICE OF LIEN ~«~;,ti,f~ :,~p
No~ 8 11 ss AM'~3
STATE OF FLORIDA -
263U12 ~
,
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
i
Commissio~ers of St. Lucie County, Florida, claims a lien in the
amount of Sixty and 64/100
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60.64 ) D~llars against any real or personal property
or interest therein presently held or after acquired by
Tom Williams of 444 Means Ct., Fort Pierce, Florida
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospit~l-
ization, sustenance or maintenance of said Indignet or Recipient ~
~
.
of welfare assistance, as follows: ~
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Hospital: Fort Pierce Memorial ;
Date Admitted• 6/14/73
Date Discharged: 6115/73
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Number of Days: 1 at $ 60.64 per day = 60.64 ~
;
None ~
Less Credits
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t
; Amount of Lien S 60.64 4
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~ Dated at Fort Pierce, Florida, this ~ day of
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~ November ~ lg 73~
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~ . ~
~ (Sign ture) '
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~ County Attorney .
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(Title)
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SWORN to and subscribed bsfore me t
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~ ~ . -s . ~
~ this ~ day of `n , 19~3. . . ~
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y; : ~ ;
• hp - . • •
- Notary P~~blic State of Flor a at Large t~. . ~`c.~ _
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My Commission Expires ~ _1 = ^ i j
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THIS INSTRUMFNT W/~5 PR'.'~ARFD EY ~~F • ;•''`~``Y',~
RALPH B. WILSON. ST. LI;Ci~ COUNTY ~~'<'~~:P'-°~
COURTHOUSE. FT. PIERGE, FLORIDA ~ ~
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