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NOTICE OF LIEN ~
356~,~$
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 Seventeen Hundred Ninety-eight and OS/100
1798.08 ) pollar~ ~c~ain ~t ~~n~.~ re~-~i or personal propert,• o=_-
interest therein presently held or after acquired by
(Name of
Virginia Carver of 108 So. 31st St., Ft. ~ierce, 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
of welfare assistance, as follows;
Hospital: Fort Pierce Memorial
~
Date Admitted: 11/13/76
Date Discharged; 11/29/76
Number of Days: 16 at $ 112.38 per day= $ 1798.08
Less credits None
- Amount of Lien $ 1798.08
DATED at Fort Pierce, Florida, this .~i~ day of "
January , 19 ?7 .
TILEO AND RECOROEC ~
St. R
CERCO0ITRAS
CLERK CIRCUIT C011pT (Si nature)
356~~;, RECORO VEA~f~EO~-~
~A4 c~ 18 AH County Attorney
(Title~
SWORN to and subscribed before me
this 19 ~ day of , 19~~.
T.Fr.~'
Notary Public State of Flori at La~ge -
. .
My Commission Expires / ~ 7y ~,t',
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