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NOTICE OF LIEN
STATE OF FIARIDA
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Lawe of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in tbe
amount of Three E~Lndred Thirtx and no/1 ~(1 ~ a
330.00 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
~ (Name of
Donna Paul pf- 1420 N. 17th St.,.•Ft. Pi.erce, FL
Indigent or Recipient) (Address~
for money directly spent by St. Lucie~County for the care, hospital-
ization, sustenance or maintenance of sabv Paul .
son Of sdid ~onna Paul ~
(Relationship)
as follaws:
Hospitdl: Lawnwood Medical Center
Date Admitted: 1/2/78
1/4/78 ~
Date Discharged: -
Number of Days: 2 at $ 165.00 per day = $ 330.00
~
~ I,ess Credits none
330.98
~ Amount of Lien $ •
~ Dated at Fort Pierce, Florida, this 28th day of November
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19 78 . _ -
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(Sign ure
County Attorney
(Title)
~t~EQ t,NO RECOROED~
~ , l?!C'.= ~:~UtlTY. FLA.
SWORN to and subscribed before me •~'`"r''"~'=t' '
~ 426136 -F
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this 28th day of ,~t ovember ~9.7~_• ~ • '
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~ Notary Public State of Florid at Large ,..v CL~
M~? COIliIi11sS10A EXplres: Tannar~~, 7
9R2
This instrument was prepared by F'.• ,
LEVITT J. ADAMS 0 ii ~Q(~ ~ 3~
Sf. Lucie Co_niy, l,Jm:ni;tration Bldg. d~Q~ VV
fart Pierce, tbrida _ ,
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