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STATE OF FLORIDA 2~?71~
COUVTY OF ST. LUCIS
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 ~o Hundred Forty-two and 56/100
. {
242.56 ) Dollars against any real or personal property
or interest therein presently held or after acquired by '
Samuel Walker pg 1705 Ave, D, Ft, Pierce, Florida
(Indigent or Recipient) (Address)
for money directly spent by St. I.ucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows:
Iiospital: Fort Pierce Memorial
Date Admitted: 6/10/73
Date Discharged: 6/14/73
Number of Days:_„4 at $ 60.64 per day ~ $ 242.56
Less Credits None
- ~ Amount of Lien $ 242.56 .
i
! o ida this ~ da of
~ Dated at Fort Pierce, F1 r , Y
a . :
March ~ 1974 ~ ~
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(Sign ure) '
County Attorney
(Title) ~
fi~EO : w~ ~~coROEo
ST. lUCic :.OLNTI! FLA. / ,
RU:~~ ~ ?~•?RAS t
SWOR.` to and subscribed before me C~ELK i.. couRT
oc(;(~~'T 'r~ r
this ~ day of ___r~~l~l.~'.~ , 19~. ~pp il i6 PN ~'a
~ ~
~ 2"1'7'71~
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~ Notary Public State of Florida a Large
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My Commiss ion Expires : ~ , ~ ~ r~ ~
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THIS INSTRUMENT HVAS PREPARED OY r~~
RALPH B. WILSON. ST. LUCIE COUNTY
Ct9URTHOUSE. FT_ PIERCE. FLORIDA ~
ao~225 P~ 93~4
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