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NOTICE OF LIEN
318~9~ .
STATE OF FLORIDA
COUNTY 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 Ten Hundred Five and 73/100
1005.73 ) Dollars against any real-~or personal property or
interest therein presenLiy i~eiu vr aitc~ acyu~r~~ bY
(Name of
Rosella Pugh of 1111 No. 16th St., Ft. Pierce, Florida
Indiyent or R~cipient) (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: 4/2/75 -
Date Discharged: 4/13/75
Number of Days: 11 at $ 91.43 per day= $ 1005.73
Less credits None
Amount of Lien $ 1005.73
DATED at Fort Pierce, Florida, this /~j/~ day of
October , 19 75 .
fILE~J Ah~ RECOROEO •
ST. LUCtE COUNTY FLA.
AOCEF. ?OITRAS ,L~ (S gnature)
ClEAK C~~i;;UIT COl1RT t~'
RECORf~ t'~;;F~~n,,.,~~
County Attorney
OCT ~S ,9 11 ~'~5 (Title)
318994
SWORN to and subscribed before me
this ~day of ~ , . 19L~* -
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