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NOTICE OF LIEN *F a `CUt~T ~p~T
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STATE OF FLORIDA 35i~'70L~ •
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 Eighteen Hundred Eighty-three and 28/100
1883.28 j Dollars against any real or~personal property or
interest therein presently held or after acquired by
(Name of
Leonard Washington of 3512 Avenue L, Ft. Pierce, Florida
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
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..F t F a-.~w F.~71 •
VL AL.iLYl~.. VJJiJ\.Y~?~~r~ t?J 1VliVAO~
Hospital: Shands Teaching
Date Admitted: 9/1/76 '
Date Discharged: 10/15/76
days paid
Number of Days: 12 at $ 156.94 per day= $ 1883.18
I Less credits None
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~ Amount of Lien $ 1883.16
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~ DATED at Fort Pierce, Florida, this /G ~ day of
December • , 19 76 . -
~ .
.
(Si nature)
County Attorney
.
(Title)
~ SWORN to and subscribed before me .
~ a
~ this day of , L9~.:
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~ . .4./ ~ i . . , _
~ Notary Public State of Florida at i,:ar e`'`~`,~
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~ My Commission Expires: 7~ . . . . ~ `
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~ TH~4 I~JS?R!:•~5~. _ ~••Ai PR^^+.n,cD BY