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F~tEO ~Nj RECOR E ~
• ST ~~~CiE COUMTr
Rdi,EF PG~Tq~s
2'i~ NOTIC~ OF LIEN CtEAK Ct:tCU~/ COUR?
RfCOR~ YERti:Ep~~
_ JuNt~ I~ 2a~1~'~I
z~ ,~•.~y
STATE OF FI,ORIDA
2~..13Js
~ COUNTl' 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 County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Fifteen Hundred Ninety and 68/100
1590.68 ) Dollars against any real or personal property or ~
interest ther ie
n presently held or after acquired by -
- (Name of
Jose Lopez, Sr. of 415 No 9th St., Ft. Pi2rce, Fla.
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: Fort Pierce Memorial
Date Admitted: 3/13/71
_ , _
Date Discharged: 4/10/71
Number of Days: 28 at $ 56.81 per day=_ $ 1590.68
~ Less credits None
Amount of Lien $ 1590.68 ~
~ ~
DATED at F~rt Pierce, Florida, this a day o£
June , 1971 .
`
t ~ .
(Signature) • -
County Attorney
(Title) _
~ ' - -
4
~ SWORN to and subscribed before me
this e? ~ day of , 19~. ~
e , ~ ~ -
Notary public State of Florida _ Large '
My Commission Expires• /f '
TNI• INSTRUMENT WAS PREPAR_ BY U ~L~~ ~
R/1LP?i B. WILSOti. ~T LUCIE GOl1NTY
GOURTHOUaE, FT. PIERG~. FLORiDA