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NC7rICE UF LIEN ~LEF'~~: •~~{~T
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STATE OF FLORIDA i~'~.0~~:~u ,
CO~UNTY 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
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Eight Hundred and 28/100
800.28 ) Dollars against any real or personal property or
interest therein pxesently held or after acquired by
(Name of ;
John Williams o~ 503 N. 21st St., Fort Pierce, Florida ~
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital- s
~
ization, sustenance or maintenance of said Indigent or Recipient
f
of welfare assistance, as follows;
Hospital: Fort Pierce Memorial
Date Admitted: 3/30/?6
• Date Discharged: 4~8~~6 ' ,
~ Number of Days: 9 at $ 88•92 per day= $ 800.28
Less credits None
Amount of Lien $ 800.2~
DRTED at Fort Pierce, Florida, this ,Z,Z /y~ day of
July ~ lg 76 .
.
(Si nature)
County Attorney
(Title)
S WORN to and subscribed before me .
.
this d~~c~ day of , 1~-7'~:;;
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Notary Public State of Fl ida at Laxge : i
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My Commission Expires : 7~ ~ - - • ;
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