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FILED R~' 'E~:_'!:J@0
ST LUCI; ;;;)JtiTI' FLA. ~
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NOTICE OF LIEN ~l'P? C~: :.UIT CCJRT
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STATE OF FLORIDA 3`~n
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COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter• 65-2181, La~as of Florida, Acts of 1965, the Board of County
Cor;,missioners of St. Lucie County, Florida, claims a lien in the
an~ount of Eight Hundred Ninety=nine and 04/100
899.04 ) Dollars against any re~l or personal property or
interest tl~ierein presentl}~ held or after acquired by ~
(Name of ~
Pauline Lowe of 3103 A Florida Ave., Ft. Pierce, Florida t
,
Indigent or Recipient) (Address) ;
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for money directly spent by St, I.ucie County for the care, hospital- ;
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ization, sustenance or maintenance of said Indigent or Recipient !
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of welfare assistance, as follows: ~
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Hospital: Fort Pierce Memorial '
Date Admitted: 5/20/76
Date Discharged: 5/28/76
Number of Days: 8 at $ 112.38 per day= $ 899.04
~ Less credits None
~ Amount of Lien $ 899.04
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DATED at Fort Pierce, Florida, this ~ Z/V~ day of
3
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~ July , 19 76 .
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~ (Signature) '
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~ County Attorney ~
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2 (Title)
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~ SWORN to and subscribed before me
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r this ~1~day of , 1'~~.
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Notary Public State of Flo da at Larg ~s }
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~ . '~~.-.;~ission Expires /-~-~-`7~ ~ _
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