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NOTICE OF LIEN
STATE OF FLORIDA • .
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COUNTY OF ST. LUCIE '
NOTICE is hereby given that pursuant to the provisions of •
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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 o£ Five Hundred Thirty-seveA and no/100's
S~p ~ ) Dollars against any real or personal propeYty .
or in~erest therein presently held or after acquired by
Sylvia Smith ~f 4304 Netzqer Rd., 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:
~ LawnWOOd Med. Center ~
8ospital:
Date Admitted: ~f4/78 .
Date Discharged: 2/'1/~8
Number of Days: 3 at $ 179.00 per day = $ 537.00 ~
Less Credits _ ~~nna
; Amount of Lien $ 537.00
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' Dated at Fort Pierce, Florida, this 28th day of
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~November ~ 19 78.
~
gnature)
County Attorney
(Title) '
c:~~T~ i..ts~ RECOPDED `i
- . ; ^~C:?`~: FLr,.
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SWORN to and subscribed before me - 4'~i~-s`~, -
•I~ 5 At~ 9• 16 ~
~ 28th November 78
~ this day, of , 19 .
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Notary Public State of.Flor' a at Laxc~e~~_.
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My Commission Expires: January 21,19B2 ~
.,J•. ` , i
. ih?s ~nsu.,r.~..nt wus prePared by ~ _ ~
i. L V 11 1 r. i. i~.'.1 J _
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Lucie Ca.nty. Aan~,n~,t.~t.on 3~d~. -~`'•,:r,;; i
Fort Pie~te, tbridd • G~ 29g ~ ~~4
. 600K
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