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NOTICE Olr LIEN
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STATS OF FLORIDA ' ~
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NOTIGB is hereby give~ that pureuant to the provieions of
Chapter 65-2181, Lawe of Florida, Acta of 1965. the Board of County
Commiseioners of St. Lucie County, Florida, elaims a lien in the
amount of $ight Hundred Ninety-nine and 04/100
899.04 ) Dollars against any real or personal property or
intereet therein presently held or after acquired by.
William Washington of 2305 Avenue_D, Fort Pier~ce~ Florida
Indigent or Recipient~ ~ (Address)
for meney directly spent by St. Lucie County for the care, hospital-
- ization, austenance or mairitenance of.said Indigent or Recipient ~
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitteds 2/25/77
Date Discharged: 3/5/77 ~
Number of Days: 6 at $ 112.38 per day= $ 899.04
- Leas credits None
Amount of Lien $ 8g9•04
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DATED at Fort Pierce, Florida, this 3 day of
June ~ Zg 77 ~
~ CO E It~~ i~ ,
~OOER h41~ -
CLEaK CIRCUIT QO (S i ature ~
tttfCp~ VEa1P1E0 ~
• ~ 1~ 2~ ~ ~~1 County Attorney
_ 3~'Q313 (Title) ' ~
SWORN to and subscribed before me ~ }
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thie a?~ti,[ day of , 19~., ~ ~
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Notary Pub2fc State of Florida I,~cg~ _~,~''-4~; :
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THIs I~,STRU6IF"T !YA3 PRt'PJ1RR'D ~ jo Y~~
RA~PH B. WILSO.~. ST LI:Ct~ C:JUNTY d
, G~~JBLi0U6E, FZ p1ERG6. FLORIDA
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