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2~'~~s9 NOTICE AF LIEN ;
STATE OF FLORIDA ~ ~
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COUNTY OF ST. LUCIE i4~~~s~ ~
NOTICE is hereby given that pursuant to the provisions of ~
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Chapter 65-2181, Laws of Florida,~ Acts of 1965, thz ~oard of County ~
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Commissioners cr St. Lucie County, Florida, claims a lien in the
amount of Three Hundred Ninety-~even and 67/100 _
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397.67 ) Dollars against any real or personal pr~perty '
or interest therein pxesently held or after acquired by ;
Lizzie Williams of 507~ N. 9th St., Fort Pierce, Florida
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Zndignet or Recipient
of welfare assistance, as follows:
Hospa.tal: Fort Pierce Memorial
Date Admitted: 6/12/72
6/19/72
Date Discharged: .
397.67
Number of Days: ~ ~;t $ 56.81 Per day = $ ~
~ Less Credits None
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~ Amount of Lien S 39?.67 ~
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Dated at Fort Pierce, Florida, this ~i ~ day af
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September , 19 74 .
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(Signat re)
County Attorney
(Title)
SWORN to and sub~cribed before me
this day of ^ ..~i,~ , 19~~
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Notary Public State o~'`Florid at Large::'~;~; _
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My Commission Expires /--Z~' ' ` • `~''r~; '
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THIS INSTRUF.S~f:T ~HAS PREPAR~fI s'y ~~~~?'4• V-G- S•~ ~ O R 1
~ALPH B. WiLSON. ST. LUCI~ C"U?~iY ~^rr~'~..;:`~~L%~-~'?~ Q~~~ ~
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Cc~URTHOUbE.. FT. PIERCE. FLORIDA ~~:;•~~Kr+f,~~;}i't;;. '
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