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HomeMy WebLinkAbout1682 ~o~F ~ 3164'~''?' ~ ' ~ NOTICE OF LIEN !Qlt£kR GI ~OU~fcCOWO~ ~,,4 f • ~RpCOa~;'Er,rrE~D.~~...b , ~ ~1#~ ; STATE OF FLORIDA COUNTY OF ST. LUCIE NOTICE is hereby given that pursuant to the provisions of ~ Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County 1 Commissioners of St. Lucie County, Florida, claims a lien in the amount of Four Aundred Fifty-seven and 15/100 457.15 ) Dollars against any real or personal property or , i interest therein presently held or after acquired by ~ (Name of Brian Wilmott of 2217 N. 13th St., 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 Indigent or Recipient of welfare assistance, as follows: Hos:pital: Fort Pierce Memorial . ~ate- Aamitted: 4j30/75 E , Date Discharged: 5/5/75 Number of Days: 5 at $ 91.43 per day= $ 457.15 Nn.s e Less credits Amount of Lien $ 457.15 i ` DATED at Fort Pierce, Florida, this 9~ day of E Bg~tr~mA _r . 19 75 . ~ ~ . (S gnature) ~ Cvuc?ty e'stt`c~tn~~ (Title) ~ ~ ~ SWORN to and subscribed before me € g ~ g this ~ -day of , 19,~,. ~ ~ ~ ~ i t , ' . ~ ' w R 4 Notary ublic State of Florid t~~i' e~,o ;`L~ , ~ =P ~;G My Commission Expires: ~'•,,t i : Q ~ r~;4~ tl~~+s:, , ~ ~7~y'• . : : ~ THIS INSTRUMENT YVAS PREPARED BY ~c~~~H!)j~11~'1~~~t O~ RALPH B. WILSON. ST. LUCIE COUNTY • - dOOK~~~ P~16~ COURTHOUSE. FT. PIERCE. FLORIDA ~ ~ n _ s . _ _ , ' ,~r, ' ~i .zM` ~ -