HomeMy WebLinkAbout0121 . - q05983 t~'
NOTICE OF LIEN
STATE OF FLORIDA .
COUNTY OF ST. LUCIE '
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NOTICE is hereby given that pursuant to the provisions of - t
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ioners of St. Lucie Count , Florida, claims a lien in the ~
Commiss Y
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amount of ~One Thousand Nine Hundred Thirty-six and no/100's ~
1936.00 ~ Dollars against any real or persor~al- property
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or interest therein presently held or after a~quired by ~
Willis Crutchfield of 808 N. 32nd St., Ft. Pierce
(Indigent or Recipient) _ (Address) ~
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows:~ ~
~ _ Hospital: Jackson Memorial (Miami)
Date Admitted- 2~9~78 `
2/17/78
Date Discharged: ~ ~
- Number of Days at $ 242 .00 per day~ = $ 1936 . 00 `
Less Credits none
- $ 1936.00 ~
Amount of Lien
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~ Dated at Fort Pierce, Florida, this 26th day of ~
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~ May 19 ~ 8 -
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(Signat e)
~ County Att y ~
(Title) ~
F LEO AMO RECORDEA
SWORN to and subscribed before me - S~.LUCiE COUNTt F~~ ;
ROGE~ ~OITRAS " f
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- this ~G ~ day of , 19~. ^ ~
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d~ ~ " 405453
Notar Publ~ State of Florida t La \,''~~•i ~r`rJ'~
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My Com'nission Expires: :~T Y'~•__"=
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Thk ir~tnxnent was nrepar~d by r, ~
~.LV11 ~ J. r~h'1J ~ 61111~~ f~ii.
St. Lucie Co.o~y, E+..~a..:+.~,ac,~ 31d,~.
Fert ~ierce, 1Ior;Jq
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