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• NOTICE OF LIEN ~E
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STATE OF FLORIDA '
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COUNTY OF ST. LUCIE
NOTICE ia hereby given that pursuant to the provisions of .
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Chapter 65-2I81, Laws of Florida, Acts of 1965, the Board of County r
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of One Thousand Four Hundred Eiqhty-five and nof100's
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1485.00 ) Dollars against any real or.personal property or
interest therein presently held or after acquired by shiriey Ann
(Name of
Golphin ~f 105 Tropic Court, Ft. Pierce, FL
Indigent or Recipient) (Addres~ ' ;
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for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of wayne M. Powell .
- son of said Shirley A. Golphin ~ ~
(Relationship) ~ ~
as follaws:
HOSplt81: Lawnr+ood Medical Center
Date Admitted: 1/2/78 ~ ~
Date Discharged: 1/11/78
Number of Days: 9 at $ 165.00 Per day = $ 1485.00
~ Less Credits none
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~ . _ Amount of Lien $ 1485.00
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Dated at Fort Pierce, Florida, this 28th day of-NOVember,
19 ~ 8 .
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(Sig atu ) ~
County orney "
(Title) ~
~ ~ FtLED At.G R~COROEO
~ SWORN to and subscribed ~before me r~~r~{~ !'~UNTY. Fl.~. _
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4~6133 '
this 28th day of November ,~978 .
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~ ' _ 18 ~O~C 5 AM • ~
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~ Notary Public State of Florida t Large : ~ ~ , : ~ ~ - • ~ ,
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My Commission Expires : January„ 21, i9s2 = - ; 't, • : , ~ -
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Th+s inslrumeM was prepored by ` • . ~ ~ ~~r:
LtvliT 1. ACa'1~5 - ~
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St. lucie Ca.nty, A~~~~.r,~~t.al:on 31~~. , ,
~ FOrt Yiercr~ tbrido - ~(]Q ,
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