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NOTICE OF LIEN
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~ STATE OF FLORIDA R~s~334
i COUNTY OF ST. LUCIE
! NOTICE ia 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, Florid-a, claims a lien in the
amount of Four Hundred Forty-nine and 52/100
449.52 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
, . (Name of
Wilbur F. Carver af Rt. 3, Box 469N, Ft. Pierce, Florida
Indigent or Recipient) _ (Address)
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: 10/1/?7
Date Discharged: 10/5/77
Number of Days : 4 a~ $ 112. 38 per day= 449. 52
,
~ Less credits None
~ Amount of Lien $ 449.52
DATED at Fort Pierce, Florida, this ,Z/ ~ day of
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March 19 77
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(S ' nature)
~PF 6~0 19 QM County Attorney °
(Title)
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SWORN to and subscribed before me
this day of __1~if.t~~,(i , 19~. .
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Y.:•s.' .
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Notary Public State of Florida t Large., ,
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My Commission Expires: / "Y~'~.~-t,~ :_~~r`'
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TH~S iNfTRUMlEYT WAS PREPARED ~Y •
RALPH B. WILSOPL S7. LUCIf COUNTY ' r n; w~~
COURTHOUSE., FT, PIERCE, FLORIOA • ~
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