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. NOTICE OF LIEN ~~~a•~9~
~ ~
STATE OF FLORIDA . ~
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursua~t to the provisions of •
-Chapter 65-2181, Laws of Florida, Acts of 1965, the Hoard of County i
Commissioners~of St. Lucie County, Florida, claims a lien in the ~
amount of Two Thousand One Hundred Forty-eiqht and no/100's
~ (
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2,148.00 ~ Dollars against any real or personal property i
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or in~erest therein presently held or after acquired by ~
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Harold Symonds Of 1906 Orange Ave., Ft. Pierce, FL
(Indigent or Recipient) ~ (Address) ~
for money directly spent by St. Lucie County for the care, hospital-
. ~
ization, sustenance or ma'intenance of said Indigent or Recipient
of welfare assistance-, as follows: ~
Hospital: Lawnwood med. Center_
Date Admitted: 3/12/78
Date Discharged: 3~31~~8 ,
~ Number of Days: 12 at $ 17~9.00 per day 2.148.00
Less Credits none
.
Amount of Lien $ 2,148.00
i
~ 28th ~
! Dated at Fort Pierce, Flori , this day of
.
•November 78
- . 19 .
(Sign ture
Countv Attornev
(Title)
ED '
- ~ ~~~a ,~fi:~ U COR~ l.t~~
. - . ~
• ,
SWORN to and subscribed before me - 4~~'79 ' -
28th November 78 ' C~~ 5 ~ 9• 17
~ this day of , 19 . 78 ~
> 9'
rLcV~'r, jt'-. , !
' ~ I(.~C ~
~ Notary Public State of Florid at Large ~ .
~ f . . `
~ My Commission Expires : January 21, 1982 • ~ ' " ,
This instrvmenl was prepared by
LrVtT7 ACP.t.15 ~ ~
Sf. lucie Co.nty. Au~:?u~isrrction 81dg~ i
~ ~ P~~, f~~a ~ • ~~ox299 ~ 406 i ~
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