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NUTICE OF LIEN
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STATE OF FLORIDA
CO~7NTY OF ST. LUCIE }
NOTICE is herebv given that pursuant to the provisions of a
~
Chapter 65-2181, Laws of Florida, Acts ~F 1965, the Board of County ~
Commissioners of St. Lucie County, Florida; claims a lien in the ;
amount of Six Hundred Twenty-two and 44/I00 t
f
622.44 ) Dollars against any real or personal property or
interest therein presently held or a~ter acquired by
(Name of
Charlie Williams, Jr. of 432 N. 17th St., Ft. Pierce, Florida
Indigent or Recipient) (R~3dress)
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
Date Admitted: 4/S/76
Date Discharged: 4/12/76
Number of Days: ~ at $ 88-92 per day= $ 622.44
Less credits None ~
Amount of Lien $ 622.44
DRTED at Fort Pierce, Florida, this ~,z NO day of
July , 19 76 .
. •
(Si ature) -
County Attorney
(Title)
SWORN to and subscribed before me
~ this a~~~day of , 19~.:
. , .
Notary Public State of Flori at Large~
,
My Commission Expires: ~ , ' ~ -
_ , _ " • . ~ '
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