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NOTICE OF LIEN •~~~~i , ~
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STATE OF FLORIDA ` ~6 M,'~~
COUNTY OF ST. LUCIE 2~ 5~(~2
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 Three Hundred Thirty_and 36/100
330.36 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Louis Williams of 2812 Essex Drive, Ft. 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 follows:
Hospital: Fort Pierce Memorial
Date Admitted: a~22~~2
Date Discharged: 8/28~~2
~ er da 330.36
vumber of Days: 6 at $ 55.06 P Y= $
i
i Less Credits None ~
~
Amount of L ien $ 330.36
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~ Dated at Fort Pierce, Florida, this ~0 " day of
;
~ February ~ 19 74
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y (Signature)
~
County Attorney
~
(Title)
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:~=r SWORN to and subscribed before me
this ~_-~D'~w day of f~ u , 19~'~':~ -
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- Notary Public State of Florida " t Large ~
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