HomeMy WebLinkAbout0272 ~ .
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4~~.12'7
NOTICE OF LIEN
STATE OF FLORIDA ~
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COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of •
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of Courity ;
Commissioners of St. Lu~ie County, Florida, claims a lien in the
amount of Four Thousand Four Hundred Eiqhty and 69/100's
4~,480_B9 ) Dollars against any real or personal property
or interest therein presently held or~after acquired by
Willis Crutchfield pf 516 N. 23rd St., Ft. Pierce, FL
(Indigent or Recipient) (Address)
f or 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: Jackson Memorial
Date Admitted: 11/24/78 _
Date Disrharged: 1/16/79
Number of Days: 17 at $263.57 per day = $4,480.69
~ Less Credits none
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f Amount of Lien S 4, 480 . 69
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~ Dated at Fort Pierce, Florida, this O~ day of
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April , 19 79
gnatu e)
~ County Att ney
(Titl e) ' FILED Ati~ R~'CORDED'
~~?~ii ~ti~UF:TY. FI.A.
_ ,y: ~~:~n
4~112'~
~ SWORN to and subscribed before me ~79 App ~ e ~ Q: 59
~ this day of , 19~. . ~
~ ~ •R;/, C~iti~::.'' i ;~vl: ~
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~ I3otar Pu lic State of lorida a Lar e~' -
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.My Commission Expires:` - ~
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This instrumer?t wes p~epared bq . ~ . ' s
~ GEYIT7 J. ADl.M~ . ; ' s
~ $t, lutie ~o~•~~y~ A•~n ~,~,t.at~on 3tds. .
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~ Fort Pierce, t iorico 6~
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