HomeMy WebLinkAbout0379 4;~6152 `
NOTICE OF LIEN ~
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STATE OF FLORIDA
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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
Commissioners of St. Lucie County, Florida, claims a lien i~ the r
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amount Of Six HLndred Sixty and noL100's x
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660.00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by. ' ~
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S~.ivi~ Harria of a A.,p - n= rr* . pi
p~~re
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(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- 1/3/78 ~ '
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Date Discharged: ~ ~,,,Q ~ ~
Number of Days: 4 at $ T65.oo per day = $ 660.00 ~
Less Credits none
$ 660.00
Amount of Lien
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~ Dated at Fort Pierce, Florida, this 28th day of
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~ November 1978 ~
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(Signa ure)
County.Attorne ~ ~
(Title)
~ ='.LED t+~:i) RECOROED
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SWORN to and subscribed before me ~~15i~+
this 28th da of November ~ 1978 'l$ ~~C 5~ 9• ~ y =
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~ ~ :r~t~ " ~ CL~R'' , ~'-%J:;T
~ Notary ublic State of F1 ida at Large
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~ My Commission Expires: January 21,1982 ~
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~ This instrument was prepared by "
~ti~„~ p~,~s o R~C~ ~ 3?9
L~cie Ca:niy, Adm:ni;trotion ~Btd¢ ' 40~
fort Pierce, rbrido
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