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NOTICE OF LIEN
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STATE OF FLORIDA
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COUNTY OF ST. LUCIE ~ ~
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NOTICE is hereby given that pursuant to.the provisions of ~
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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 Six Hundred Sixty and no/100's
6~0.00 ) Dollars against any real 'or personal property
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or interest therein presently held or after acquired by ~
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Veronica Brown of Rt 3, Box 375, Ft. Pier Fr.
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of weifare assistance, as follows: .
Hospital: Lawnwood Medical Center i
Date Admitted~: 5/1/78 ~
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5/5/78 ~
Date Discharged: ~
Number of Days: 4 at $ 165.00 per day = $ 660.00 '
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Le~s Credits none ~
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' Amount o€ Lien $ 660.00
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~ - ~Dated at Fort Pierce, Florida, this 16th day of
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~ J~ne . 19 78 - - . ~
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x0 RE~oR0E0 ~
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~pCiE ~O~MR~S~~ Signatu e) .
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~ SWORN to and subscribed before me '
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s this day of ~.t. , 19~. i
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r
k Nota y Public State of F1 da at Large
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~ My Commission Expires aZ~ ~•Z :~v; : e-°'~ ~ . ~ ~
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~ This instrvment was prepared by '~C-'• , ~
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g LEVITT J. AL~•'~5 - '
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