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NOTICE OF I~IEN `'l'f R~ L~"CU1T COlIAt~/
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O~c I~ 9 AM'76
_ S TATE OF FLORI DA
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COUNTY OF ST. LUCIE . .
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Hoard of County
Commissioners of St. Lucie County, Florida, claims a lien in the .
amount of One Hundred Fifty-six and n0/100 ~
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156.00 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Evelyn Enders of2012 S. 3rd St., Ft. Pierce, Florida
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital- ~
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ization, sustenance or maintenance of said Indigent or Recipient ~
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~f welfarF± a~ci~tancet as follows- _ ~
. Fort Pierce Memorial ~
Hospital. , i
' Date Admitted: 10/28/76 ~
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Date Discharged: 11/4/76
6 co-insurance days paid
Number of Days: at $ 26.00 per day= $ 156.00
Less credits None
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~ 156.00 =
~ . Amount of Lien $ ~
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~ DATED at Fort Pierce, Florida, this /G day of ~
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~ December . , 19 76. ~
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(S gnature)
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~ County Attorney 3
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' SWORN to and subscribed before me ;
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da of X/~l.CI~N?~ 19~.. _
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! Notary Public State of Florida at Larg~.
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