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NOTICE OF LIEN
STATS 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
Commissioners 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
Fred Mathis pf 2802 N. Fed. Hwy., Ft. Pierce, FL
(Indigent or Recipient) (Address) ~ ~
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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: 6/24/78 ~
Date Discharged: 6/27/78
Number of Days: 3 at $179.00 per day = $ 537.00
Less Credits none
Amount of Lien $ 537.00
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~ 28th
Dated at Fort Pierce, Florida, this day of
~ November , 1978~
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(Signatur
County Attorney . ~
(Title) .
FtLED :.tiD ftECOR0E0' ,
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SWORN to and subscribed befox~e me g~ i5
'~8 ~rC 5 ~ ~ ~
this 28th day of November ~ 1g78 ~ ~
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~ Notary ubiic State of Flo da at Large ~ •
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My Commission Expires: January 21,1982 -
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jhis irutrument was prepared by
~ . L'EVf17 1. ALAMS .
Sf. lucie Co~.nty. Adm~nistrot:on 3ldg. ' g~~.
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~ Fort Pierce, 14orido
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