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ST. ~UCil CUUNT'~ FIA.
ROt.~•2 i u"AOS
NOTICE OF LIEN c! F~ K c,~~~.~~i~ couRT
R F: C. n~. Y z~'~ E~i
~u~ ~3 9 43 AH'76
STATE OF FLORIDA 3`~U`~~~'~
s
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
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of 'Five Hundred Thirty-three and 52/100
533,52 ) Dollars against any real or personal property or
interest therein presently held or after acquired by s
(Name of ;
Eddie Lee Williams of 1606 Avenue H, Fort Pierce, Florida ;
Indigent or Recipient) (Address) i
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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:
Hospital: Fort Pierce Memorial
s
Date Admitted: 4/6/76 ~
4/12/76 ~
' Date Discharged: _
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' Number of Days: 6 at $ 88-92 per day= $ 533.52
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I Less credits None
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~ Amount of Lien $ 533.52
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~ DATED at Fort Pierce, Florida, this ~,~/~Id day of
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~ July ~ 1g76
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~ (Si ature)
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County Attorney
~ (Title) g
~ SWORN to and subscribed before me
this ~day of . 197~ : - j .
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n ~ . _ ' ' ~ . . . -
_ Notary Public State of Flori a at Large G:~, ~
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' ~ 7~' ~ ~ - ~
~ My Commission Expires: o~ ~ ~
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~ COIiR 1 NC~I. ~c. r i. f.._.. _l.. F L(.~r<::JN PAI:L ~ ~
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