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NOTICE OF LZEN sT F~~,~-. ;`"~"•ai5~~ Le~
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STATE OF FLORIDA 2~ 9 os aN ~~J ,
covrT~r o~- sT. ~,uciE 3214~5 ,
_ NOTICE is hereby given~that pursuant to the provisions of
Chapter 65-2181, Laws of Flo:ida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
; amount of Nineteen Hundred Seventeen and 48/100
- -,,,l.
1917.48 ) Dollars against any real or personal property or ~
interest therein presently held or af ter acquired by
(Name of
Annie Williams of 909 N. 48th St., Ft. Pierce, Florida
Indigent or Recipient) (Addres~
~
for money directly spent by St. Lucie County for the care, hospital-
.
ization, sustenance or maintenance of Detrix Williams
minor son of said Annie Williams
(Relatiqnship)
as follows: .
Hospital• Jackson Memorial
Date Admitted: 7/14/75 ~
Date Discharged: 8/21/75 '
days allowed 1.917.48
Number of Days: 12 at $ 159_79 Per day = $
- None •
~ Less Credits '
_ Amount of Lien $ 1917.48
I'; T~ Novembe r ~
~ Dated at Fort Pierce, Florida, this ,Z D -day of
19 ~ 5 .
.
(Si nature)
~ County Attorney
(Title) .
Stn'ORV to and subscribed before me
thi~ day of l/ a~.,.,~~? .~9 -
, ~'L~ y` i/ ~,.H f • . .
Notary Public State of Flori at Larg~y .
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My CGr~imission Expires: 7-/-7~ ' E~ r.o-+ .
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