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. - NOTICB 0~+' LIEN ~
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3TATS QF' FLORIDA ~ '
COUNTY OF ST. LUCIB . -
NOT~CE ie hereby given that pursuant to the provisione of
Chapter 65-2181, Lawe of Florida, Acta of 1965, the 8oard of County
Con~missionera of St. Lucie County, Florida, claime a lien in the
amount of $ight Hundred Eighteen and 15/100
818.15 ) Dol2ars against any real or personal property or
interest therein presently held or after acquired by
~ - (Neme of
David Moody of _1003 No. 21st 3t., Fort Pierce, Florida
Indigent or Recipientj (AaaYeBS)
for money directly spent by St. I,ucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient ~
of welfare assiatance, as fol2ows;
Hospital: Martin Memorial
Date Admitted; 4/21/77
Date Discharged: 4/26/77
Number of Days s 5 at $ 163. 63 per day= ~ 818.15
Leas credits None
Amount of Lfen $ 818.15
DATED at Fort Pierce, Florida, thia _,Z3 ` day of
June , 19 77 .
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(Si nature)
s~.~RK c~~cui ovR~O ,
rr; YERIFIEO.~:• County Attornev
J~ 1~i ~f 19 ~M ~~T (Title)
SWORN to and subscribed before me
this ~c day of . 19,~,~ 4
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Notary public State of F orida at Lar :
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My Commisaion Expiress /-Z/ "";,~•'~.'••t:~~ -
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' TH~3 ~NSTRLMr'tT ~.•FS PRLPAREO ~y ?I,,r~ilfj~~~~,.~ . .
R/1~PH 9. WILSON, ST. LUC~E CQUNTY '
COURTHOUSE, FT, PIERCE, fiLORiOA ~OOK~~ PACE