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268Q13 St 4iCv~i° ~~~NRAS`A.
NOTICE OF LIEN c~EFR "~?~Y CouRT l
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STATE OF FLORIDA
COUNTY OF ST. LUCIE 268013
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Flu~~3a. Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the ;
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amount of Fourteen Hundred Fifty=five and 36/100 `
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1455.36 ) Dollars against any real or personal property ~
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or interest therein presently held or after acquired by
Tom Williams or 444 Means Ct, Fort Pierce, Florida
(Indigent or Recipient) (Address) i
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for money directly spent by St. Lucie County for the care, hospital- ~
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ization, sustenance or maintenance of said Indignet or Recipient ~
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of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
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Date Admitted: 4/15/73
Date Discharged: ~~9~73 . ~
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' Number of Days~: 24 at $ 60.64 per day = $ 1455.36 ~
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~ _ Less Credits None g
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~ Amount of Lien $ 1455.36
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Dated at Fort Pierce, Florida, this + day of
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November , 19 73. ~
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(Signa ure)
County At~orney
(Title)
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SWORN to and subscribed before me
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~ Notary Public State of Florida at Large :
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~ My Commission Expires: /'d-~ 7~ ' I
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c~ Y tY1~5 PR=`.'S.4cp ~.Y ' • '
~ TH1S INS'fRUF1Et3' :_LCi~ C~UVTY • r `
-:3 RALPH B. WIL50 d. ST- ' c! r'~',C .
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PIERGE. Fi-ORiDA
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