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STATS OF FLO~IDA ' ~
COUNTY OF 8T. LUCIS ~
NOTICS is hereby given that pursuant to tha provisions of
Chaptez 65-2181, Laws of Florida, Acts of 1965, the Board of County
Caroaissionere of St. Lucfe County, Florida, claims a li~ in the
an?ount of Five Hundred and 28/100
500.28 ) Dollars against any real or peracnal property or -
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interest therein presently hela or after acquired by
. ~ - . (Name of
Will~e G. Crenahaw of 903-A No. 31st St.. Fort Pierce, Florida
Indigent or Recipfent) (Aaar~e8~
for money directly spent by St. Zucie County'for the care, hospital- ~
ization, sustenance or maintenance of said Indigent or Recipient ~
of welfare assistance, as followas
Hospital:- Fort Pierce Memorial
Date Admitted: 4/23/77
! Date Discharged: 4~2~~~~ '
Number of Days: 4 at $ 125.07 ~r day= $ 500.28
Less credits None
Amount of Lien $ 500.28
DATED at Fort Pierce, Florida, this ,2~3 day of
June , 19 77,
~T. iYCt~ COWwT11 i~ • .
l100ER r01TK~8
c<<Rx aaCU~TCO (Si ature)
~r-n~ ~ y~a~F1E0
~UN Z~ 20 ~H'~T 3'7~~'7 County Attorney
(Title)
SWORN to and subsczibed before me
• tlzis ,3 day of ~t , " 19~.
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; Notary Public State of F orida at ~iq~
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My Comtnission Expires: ~ 7f
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TM~S lt~STRUH~'~T WA$ PR[PARED 9~
RALPH B. WILSON. ST. LUGE G041NTY ' -
COt1R7HOU5~. FT. PIERCE. FLORiDA • ~
` . BOOK ~ PAt~ .
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