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NOTICE OF LIEN ~ ;
STATE OF FLORIDA 3~_~ ~~~,,y ;
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COUNTY OF ~T. LUCIE
NOTICE is hereby given that pursuan~ to the provisions of ,
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County ?
, Commissioners of St. Lucie Count Florida, claims a lien-in the ~
Y, .
amount of Six Hundred Forty a~d O1/100
640.01 ) Dollars against ar.y real or personal p=operty ~
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or interest therein presently held or after acquired by - `
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Clifford Williams of 2302 Canal Terrace, Ft. Pierce, Florida
- , (Indigent or Recipient) (Address) ~
for money directly spent by St. Lucie County for the care,_hosgital-
ization, sustenance or maintenance of said Indignet or RPCipient
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of welfare assistance, as follows:_ ~ ~
Hospital: Fort Pierce_ Memorial
Date Admitted: 4/?6/75 ~ -
- Date Discharged: 5/3/75
Number of Days: 7- at $ 91.43 per day = 640.01 :
. ~Less Credits None
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- _ ` Amount of Lien - 640 . ~
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Date3 at Fort Pierce, Florida, this day of - ;
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~Iu nP . 19 ~ 5 • . .
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' County Attorney ~
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~ SWORN to and subscribed before me - ' %,r
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this ~ ~ day of ~-~J _ . 19 ~.1 • ~ R~ fQl~
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Notary Public State of Florida at rg~,,;::-- - - t~ R' ~f r ,
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i My Commission Expires: -Z/~ + ~ . - - -
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THIS INSTRURS~'!T ~~.4S PFtF~'tiRED DY ^ ~ ~.4 " • -
RALPH B_ V?IL~QN. ~T. LL'C:i:. Cv'Jt;TY - ~'~,~~''•~`T'~' nt;4}=~ `
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' COLIRTHOUSE. FT. PIERCE, FLORIDA 1"'~'- ~
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BOOK 2~V PAGf ~~~4