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NOTICE QF LIEN
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STATS OF FLORIDA
CdtJNTY OF ST. I,UCIS
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 Z'M?o Hundred Five and 15/100 ;
,
205.15 ) Dollars against any real or personal property or
interest therein presently held or after acquired by ~
f
(Name of ~
Evelyn Enders of 20I2 So. 3rd ~t.. Ft. Pierce, Florida
Indigent or Recipient) (Address) ~
for money directly spent by St. Lucie Cour~ty 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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Hos ital: Fort Pierce Memorial ~ ~
P ,
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Date Admitted: s
;
Date Discharged: '
33 visits to Emergency Room, various dates-* ;
Number of Days: at $ per day= $ 205.15 ;
Less credits None
*Due after Medicare payment. Amount of Lien $ 205.15 =
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ST ~
DATED at Fort Pierce, Florida, this ,Zf ~ day of ~
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March , 19 _
39
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FttED aND RECuROEU ~
ST- ROCER
PO TRAS lA. .
CLERK CIRCUIT COURT ~ (S gnature)
RECORD VERIFIEO
Cour~ty Attorney
~PR S 18 AN '
(Title) ~
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~52,324 ~
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SWORN to and subscribed befare me ~
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this day of G~~4%!'.c~,(i , 19~. . ~
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Notary Public State of Florida t Large ~
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My Commission Expires : ' ~ ~ •.,r= • , ;
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TH•1 IN5'hU!.trrrT YIA4 PRFPAR~D BY •
RALPH 9 Yli~S:~`~. ST_ LLC;E GOUNTY
COURTtI0U5E. FT. PI~RCE, FLORIO/t ~ P~ ~~~'~J
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