HomeMy WebLinkAbout0069 321441 ~ ~ ~
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S`iATE OF FLORI DA
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~:CL:\TY Or ST. i,UCIE '
~
NOTICE is he:~~by gi:=en that pursuant to the Frovi~i~ns of ~
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~?;~pt~r 65-2181, Laks of F~orida, Acts of 1965, the ~oard ~f County
C~-~-.:~~i~~s~_~~~c~i's of St. L~ucie County, Flori.da, clair*is a lien in the ~
~
a~no~~nt of Three Hundred Sixty and SO/100 . ;
- - - - ~
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,
360.80 j iiC~i1c31S ~U?1.t1St ~I'i_y Ie31 ~i ~~t~rsonal »~'~per4f Or
interest therein presently held or after acquired by _ ~
(Name of €
~
Henry Wells of 1708 No. 13t?~ St., Ft. Pierce, Florida
I~diyent or ~ecipi~nt) (Addr~ss)
for *~~oney ~irectly sc~~nt by St. Lucie County for t]~F care, ?~ospitaZ-
ization, s~~stenar:ce or ~?aintenance oi said Ii-,diaent or Recipient
of wel:`~re ~^sistance; as foilows:
- Hospital- Fort Pierce Memorial . ~
~
liate Admitted: 10/5/74 ~ _ ~
. Date D~sc}:arc:ed:__10/~0/74 _
_~:u~~~i~er of D3ys 5 ar $ 72. 16 ~ per day= $ 360.80
T.ess ~.~hdits None
,
~ yrnc~unt of Lien $ 360..80 ~
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~ DA's, :D a ~ ~ ort Pi erce, Flori~da, this ` day of
~ November , 19 75 .
(S gnature)
County Attorney
~Title)~
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S;.G:~~v ta anc ~;:~~~cri,~r d':.efore me ~
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Rotary Publ i c State of r lor da at Larg~O,t
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M}~ Ccmm~Gsion Expires: /-~1./- ~Vn,_~,•, ~ .
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