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NOTICE OF LIEN
STATE OF FLORIDA 4~~,,y~S
v~
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 One Thousand Nine Hundred Eiqhty and no/100's
1980.00 Dollars against any real or persona2 property
~or interest therein presently held or after acquired by ~
Jessie Forte of 2207 Ave. K, Ft.~Pierce, FL
(Indigent or •Recipi,ent) (Address)
~S ~
f or money directly spen~ by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or R.ecipient
of welfare assistance, as follows: -
Hospital: Lawnwood Medical Center
Date Admitted: .2~15/78 ~
. Date Discharged: 2/2~/7g
Number of Days: 12 a~ $ 165.U0 per day = $ 1980.00
Less Credits none
Rmount of Lien $ 1A80.00
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' Dated at Fort Pierce, Florida, this 16th day of `
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~ June , 1978 . ~
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(
E ANO RECORDEO
~ F~~Ep NtY FU (Signatur )
S~. tUC1EA
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~ic:=K •+t;,, . County Attorney
_ . • v'= ~zeM~ (Title) .
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~ ~g 44'7355 _
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L
~ . SWORN to and subscribed before me
~
~ this ~ ~ day of ~ , 19~. ~
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` - Notary Public Stat o F1 ida at Large . ~
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~ My Commission Expires : /9~~= a ~ ~ ~
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~ This instrument was prepared by • ~
,
~ LEVITT J. ADAMS ~
~ sf. ~o,.~,ty. ti~s~~i~~?~o?~, a~d~. - ~ °eoR~c~9 ~ i~
~ Fort Piarce, tbrida
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