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~ NOTICE OF LIhN ~ G
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` STATE OF FLORIDA
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COUNTY OF ST. LUCIE -
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NOTICE is hereby given that pursuant to the provisions of
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
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p • Commissior~ers of St. Lucie County, Florida, claims a lien in the ;
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' amount of Six Hundred Forty and O1/100
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540.01 Dollars agains~ an,y real or pPrsonal property
, or interest therein presently hsld_ot after acquired by
. Clifford Williams - of 2302 Canal Terrace, Ft. Pierce, Florida
, (Indigent or Recipient) _ (Address)
~ for money directly spent by St. Lucie County for the care, hospital-
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~ ization, sustenance or maintenance of said Indignet or Recipient
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of welfare assistance, as follows: ~ .
Hospital: ~ Fort Pierce Memorial ~
~ Date Admitted: 4/17/75 ~ _ ~
- ~ Date Discharged: 4/24/75 -
~ Number of Payss ~ at $ 91.43 per day = ~ 640.01
~ Less Credits Nan~
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- - - - - - - - - - Amount of Lien $ 640 . 01
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_ Dated at Fort Pierce, Florida, this ~ day of
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June ~ 19 75 . - .
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_ ~ (Sign ture)
~ - ' County Attorney
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' - ~ SW~RN to and subscribed before me #~4~
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. . this ~ day of ~,.~n,.t~ , 19~. -
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~ Notary Pu lic State of Florida a Large : 3~.~,~68 .
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My. Commission Expires : / - ~-1- ~~t,
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. THIS Ih87RUMENT 4YA3 pREPARED By - L~;`•° i'^'~'. -
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RALPH B. ~'y1L~sON, ST. LUCIE COUNTY ' L~~r~•
C.~URTHOUSE, FT, p~ERCE, FLORIDq ~!~~••4~~~`~~ ~ - -
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- ~ ` BOOK ~4~ PasF2~`~5
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