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NOTICE OF LIEN ~~~~'66
STATE OF FLORIDA • ,
COUNTY OF ST. LUCIE ?
i
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 One Thousand Seven Hundred Ninety and no/100's
) Dollars against any real or personal property
or in~erest therein presently held or after acquired by
Sadie Lesane Of 2907 Ave M,.Ft. 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 Med. Center
Date Admitted: 4/~,0/?8
Date Discharged: 4/20/78
Number of Days: 10 at $ 179.0o Per day = $ 1,790.00
none
Less Credits
~ - Amonnt of Lien $ ~.790.00
~ Dated at Fort Pierce, Florida, this 28th day of
~
~ovember , 19~$ . ~
~ (Signature
County Attorney
(Title) ~ ~ :
^~D `
_ ~`i; r^-i_COR~
. y~~~-rY
~ SWORN - to and subscribed before me ~~C;S~.~ ~
5 AM : i6
this 2$th day Of November ~ lg 78 ~~j
~ . ~
~ ~ , i :F" ^ . "
~ Notary Public State of Flori at Large~ _~R .
~ M Commission Ex ires: January 21,198~
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7his irutruzae.^.t was Qrs~ared bY ~ .
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Fon Pierca, r k.~;Jo .
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