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~ NOTICB OF LIEN~
STATE OF FLORIDA . _
COUNTY OF ST. LUCIE
- NOTICE is hereby given that pursuant to the provisiona of •
Chapter 65-2181, Laws of Florida, Acts af 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of One Thousand Two Hundred Fifty-three and no/100's -
($~,s~.n,~ ) Dollars against any real or personal property
or in~erest therein presently held or after ac~uired by
Robert f~lilliams of 925 Dundas Ct., Ft. Pierce~ FL .
(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: Lawnwood Med. Center
Date Admitted: 2/2~78 _
Date Discharged: 5~22~~8 ~
Number of Days: ~ at $ 179•0o per day = $ 1,253.00
~ Less Credits n~ne
~ Amount of Lien $ 1,253.00
~ -
~ Dated at Fort Pierce, Florida, this 28th day of ~
~
NOvember , 1978 . ~
(Signa re)
~
County At ey
- (Title) -
~~~EO ~''tJ ~ECORDED
- . ~ ~ ^U~~TY, FLA.
-
SWORAI to and subscribed before me ~ - 4i~i~.S3 '
~ . ,;8 [~~C 5 AM 9 = 18
~ this 28th day of November , 1,9 78. ~
~ 9~
t~~la.. CL=RK ~ - S
~V ~ ~ ' .
Notary Public State of Florid at -Laig~
My Commission Expires:Januar 21, 1982 "
TM~s inst~vment was prepared by ~ . - . F
.-tVtTT J. AG~IhtS ~ dOI~~rVV PA~iE ~Q ~
.Sf. Lucie Co..niy. Ad~nu~.>trotion 81d~ ' • , ~
Fort Pierce, Florida
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