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NOTICE OF LIEN ~
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OF FLORIDA ~ ~594s
STATE '
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COUNTY OF ST. LUCI$
NOTICE is hereby given that pursuant to the provisions of .
Chapter 65-2181, Laas of Flarida; ASts of 1965, the Board of County
Com~aissioners of St.~Lucie County, Florida, claims a lien in the
amount of One Hundred Eighty~-one and 92/100
181.92 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Gary:Williams of 601 Holly Rd., Fort Pierce, Fla. s
(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:
. ~ ' ~ 4
Hospital: Fort Pierce Memorial
Date Admitted• 10/22/73 ~ r
Date Discharged: 10/25/73 ~ ~
Number of Days: 3 at $ 60.64, per day = $ 181.92
Less Credits None ~
- . _ ~
- : Aniount of Lien ~ $ l~'~
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~ Dated at Foit Pierce, Florida, this day Of ~
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November , 19 74. ~
.
(Si ature)
~ CourLtv Attornev
(Title)
jIlLp ~,~+C aE~pRp~rp
~ `t. LUCIC 40UNTr FLA.
~toa; R onirs~ta
CI~lRK C~~;GUIT COUBT
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SWORN to and subscri}~ed before me
~ ~ / N~I t5 I ! zz '7~
~ ~ day of ~i~~ ~~i,-. ~i~L~/ 19~~
this ..,.f-
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Notary Public State of Florida a Larg~`,'
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My Commission Ex ires : `j j'`
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TH=3 INSTRUldE^~T Y:A4 PREP6^9D B1I ~h~f.. ~
RALPH B. WILSON. 5T LUCIc •:QUtJ7Y M~'
COURTHOUSE. F7. P{ERCE, FLORIDA ~
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