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NOTICE OF LIEN f.~ ~ ~~~''~S
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STATE OF FLORIDA ~G ~6 ~II~ ~ ~a ~
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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
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Two Hundred Seventy-five and 30/100
275,3Q Dollars against any real or personal property
or interest therein presently held or after acquired by
Louis Williams of 2812 Essex Dr., Ft. Pierce, Florida
(Indigent or Recipierit) (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: 3/8/73
~ Date Discharged: 3~i3/73
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~ Number of Days: 5 at $ 55.06 per day = $ 2~5.30
~ Less Credits None
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f Amount of L ien $ 275.30
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4 Dated at Fort Pierce, Florida, this ir/!~ ~ day of
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r February , 19 74 .
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~ (Sign ture)
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; County Attorney
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} SWORN to and subscribed before me
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` this ~ day of ~~r.c , 19
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- Notary Public State of Florida Large ~
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' My Commission Expires : . ' : ~ ~ "
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THIS iNS~"RL'MT'•lT ~,•'R.S PR-nARFp -°.y ~ , ^ ~ ~ ~ .
RALPH B YY1:_SC.•! ~T i ,,r-,._ - :~Y
~i COURTHOUSE. FT. Pi:=rt:~E. FLUK~DA ~
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