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4'' 132
NOTICE OF LIEN
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 ~
Canmissioners of St. Lucie County, Florida., claims a lien in the
amOUnt of Five Hundred Thirty-seven and no~100's
537.00 ) Dollars against any real or personal property or
interest therein presently held or after acquired by Esther Gardner
~ 423 N. 24th St. , F~Na Pierce, FL
of
Indigent or Recipient) (Addressa
for money directly spent by St. Lucie County for the care,. hospital-
ization, sustenance or maintenance of Alf-redia ~ardner
.
daughter of said Esther Gardner
(Relationship) ~
as follaws:
Hospital: LawnWOOd Medical Center
~ Date Admitted: g~1~~78
Date Discharged:9~20~78 - .
Number of Days: 3 at $179.00 per day = $ 537.00
I
Less Credits none ~
~ ~ 537.00
~ Amount of Lien $ •
i
~ Dated at Fort Pierce, Florida, this a~ ~ day of
19_~. `
. (Sig~ tur
~
(Tit e)
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~ -
~ ~ _ -
~SWORN to and subscribed before me ' • • ~
~ ~ ~6132
this day of ,~9 7~ , ~ ~
~ 3 p ~ 5 AM 9 ~ t
~ . _ ~ _
~ ~ ~ _ ~ . - _ ;
Notary Public State of F rida ~at arg C..=
- ~ . 1 ^ ; - . • ` .
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My Commission Expires: ~~'9~2~ "
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This instru:nent was pr~pared by - .
~ ' Lt.117 1. A~l,MS ~ 0 p ~
St. lucie Co_nty, l,um,zi;trot~on Btdg~ ~du~ P<<(•E 3W ~
~ fort Ni~rca, tbrida ~ •
~ - ~ ~ -
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