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NOTICE OF LIEN • ~
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STATE OF FLOR~DA
31-~-~.69 .
COUNTY OF ST. LUCI~
NOTICE is hereby given that pursuant to the provisions of
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Chapter 65-2181, Laws of Florida, Acts of 19fi5, the Board of County ~
~ • Corn-nissi.oness of St. Lucie County, Florida, claims a lien in the ~
~ amount of Ten Hundred Ninety-seven and 16 100
1097..16 ) Dollars~ against any real or personal pr.operty ~
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or interest therein presently held or after acquired by ~
_ ~ Clifford Williams of 2302 Canal Te.rrace, Ft. Pierce, Florida
. (Indignnt or Recipient) (Address)
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f or money directly spent b~r St. Lucie County for the care, hospital-
ization, sustenance or m~~.ntenance of said Indignet or Recipient' ~
_ of welfare assistance, as foll~?ws: - ~ ~
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Hospital• Fort Pierce Memorial
Date Admitted: 4/2/75 - - ~ ~
_ Date Discharged: 4/15/75
Number of Days: 12 at $ 91.43 per day = $ 1097.-16
- Less Credits ~ None
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1097. 16
- - Amount- of Lien - $ . - ----------L
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~ _ Dated at Fort Pierce, Florida, this day of _ ~
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- June , 19 75. ~ i
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~ - ~ (~ig ature) ~
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- ' Cour?ty Attorney
(Title) -
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~ SWORN to and subscribed before me ~ ~
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t~71S ~ 7' /7i day Qf , 19 . , - - . -
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Notary Public State of Florida at rg~:..~ , t-_ -
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My Commission ~ Expires ~:'~~.t~~-`. -
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THis INSYRUMENT WA3 PFtEPARED BY - ~ C•`
RALPH B. WILSON. ST_ LUCIC COUCiTY
~ COURTHOUSE. FT. ?IERC: , FLORIDA ~ '
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~ ~ _ sooK_240 Pacf~9'16