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4~6148
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 Floriaa. ~?cts.of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Twn Thousand One Rundred Fort.,y=e,~g~,t and noj100's ~
2,148.00 ) Dollars against any real or personal property
or interest therein presently held.or after acquired by
I.ouise McGriff Of 1730 School Ct., Pt. Pierce, FL
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows: -
Hospital: Lawnwood Medical Center
Date Admitted: 9~20~78 ~
Date Discharged: 10/4/78
Number of Days: ~2 at $ 179_0o per day =_$,~,148.00
~ Less Credits none
2,148.00
j ~ Amount of Lien
~
~ - '
~ ~Dated at Fort Pierce, Floxida, this 28th day of
November ~ ~978 ~ ~ - _
,
- (Signa re)
County to ney
(Title)
F ~ ~D : R~COr~DED
' • - i- •,TY ~ ~
. . ~U'~t ~ r .
~ 4;~6148
SWORN to and subscribed before me .
- S AM 9: I y .
~ 28th ~ November 78 ~
~ this day of , 19 ~
~ . _ . ~ `
: • CL=-:%. _ ~ 3i
~ c; .
Notar Public State of Flor' a at Large.••~'~~ _
~ ~ .
•l 1j~ ~
My Commission Expires : January 21,1983: ~ •a~' : ~
b ~~3~~''' ~
This inslrumenl was prepared y
~EVi7T J. ADAMS .
St. lutie Ca.nty, Administration Bldg. ' ~
~ so~ 2~~9 P~ 375
fort Pierce, tbrida •
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