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I30TICE OF LIEN p~~~`
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295962 M~ 15 f i z4
STATE OF FLORIDA ,
COUNTY OF ST. LUCIE ~~`5962
, .
NOTICE is hereby given that pursuant ta the proviaions of
Chapter 65-2161, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, F~orids, cl~ims a lien in tbe .
anount of TM?enty Nine Hundred Fifty-eight and 56/100
2958.56 ) Dollars against any real or pereonal property or •
~
interest therein presen~ly held or after ac~uired by
~ (Name of
Harry and Dorothy ~ordon of 607 No. 19th St., Ft. Pierce, Fla.
~
Indigent or Recipient) (Address~
for money directly_s~ent by St. Lucie County for the care, hospital- ,
?
.
ization, sustenance or maintenance of Theophilus Gordon
`"minor son of said Harry and Dorothy Gordon
(Relatiqnship) " ~
as follows : ~ ' `
' i
Hospital- Fort Pierce Memorial
Date Admitted: 8~8~~4 8/24/?4 7/20/?4
Date Discharged-8/19/74 9/17/74 7/26/74 •
Number of Days: 41 at $~?-16 Per day = $ 2958.56 ~
.
! ~ None ~
~ , Less Crec]its
~ . •
~ Amount of Lien $ 2958..56
~
~ Dated at Fort Pierce, Florida, this ' day of November,
19 74
~
.
.
(Si ature) ~ '
' ~ • / ~
, County Attorney ~
(Title) .
~
SH'ORN to and subscribed before me ~
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