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NOTZCE OF LIEN o +~E
~LEfiK C"~Ci)If ~9i1Rt
~ ' ftf.l;9a? YER~Fi~O
STATE OF FLORIDA ~ ~ ~ ~ ~7~
, ~
CpUNTY OF ST. Luc~E ~ 29S9'75 -
+ NOTICE is hereby given that pursuant to the provisions of
,
Chaptez 65-2181, Laws of Florida; Acts of 1965, the Board of ~au~c~ '
~
Comaai~csioners • of St. - Lucie County, F1ori Cda, clai.ms a lien in the ~
aaiount of Five Hundred Seventy-seve~ and 28/100
5~~•28 ) Dollars against any real or personal property
, ;
. ,
or interest therein presently held or after acquired by
Calvin Wyatt of 123 Avenue D, Fort Pierce, Florida
(Indigent or Recipient) ~Address) F
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:
Sospital• Fort Pierce Memorial ~ _ -
Date Admitted-, ~/30/74
8/7/74
Date Discharged: `
Number of Days:~ at $ 72•16 per day = $ 577.28 ;
. . - ~
Less Credits None
~ Amount of Lien $ 577•28 ~
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~ Dated at Fort Pierce, Florida, this day of ~
November . , 19 ~4 . ~
~
~ _ (Sig ature) •
. County-Attorney
. (Title)
~ ~ . t
~ _
~ SWORN to and subscri}~ed before me
~ /
~ ~ day of ~,(s-F~~i~.~ . 19.~.- ~
this .l ~
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. ~ ' - `
•i~( L~itlJ .C...~ .VV tll~rr~~• F~
~ Notary Public State of Florid t I.~2~ ~;;~5
1~ -
Comiaission Expires : ~ - fl~ •
My - --~M. ccMM;k~' -i. ~R~s-~~-~. . , _ ~
~lONDED 1MRU G~ ~
„ i,,~i1~,.,. .
L~ ~y r \
TM?s INS'TRUM~NT 1NAS PRepr~en oY ~rg:
RALPH S. ~YIL:;J:~. ST. LU~;l:. '._^,I_iT~TY .C~!`~~G~•~'~ -r=
COURTHOUSFy FT. PiERGE. FLORIDA _ ~~/~~~~~ir~'~y:~:~`;.•.'
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