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NOTICE OF LIEN '
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STATE OF FLORIDA '
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COUNTY OF ST. LUCIE
N~OTICE is hereby given that pursua~t to the provisions of •
Chapter 65-2181, Laws of Florida, Rcts. of 1965, the Board of.County
Commissioners of St. Lucie County, Florida, claims a lien in the.
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amount of One Thousand TWO Hunt~red Fifty~three and no/100's i
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1,253.00 ) Dollars against any real or personal property
or in~erest therein presently held or after acquired by '
Ar_ita DPlna__ t_~_ _ Of 91Ad AvP- D~ Ft_ Pier-e, FL •
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
~ ization, sustenance 6r inaintenance of said Indigent or Recipient
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of welfare assistance, as follows:
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Hospital: Lawnwood Med. Center z
Date Adritted: 1~~~78
~ 1/14/78
Date Discharged:
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Number of Days:7 at $ ~79.0o per day = $1,253.00
Less Credits none `
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Amount of Lien $ 1,253.00
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' Dated at Fort Pierce, Florida, this 28th day of ~
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~ ; 19 78 .
e=:,e
!
~ . (Signat re) ~
County Attorney '
(Title)
FiLED ~:~i~ ~ECOROEO~
5~_ ,~~;~c ^^U`JTY. FLA. -
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~SWORN to and subscribed before me • 4~~.80 ~
'?8 D~C 5 A~I 9: 18 -
this 28th day of November ~ 1978 . _ ~ 0
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~IGrC. ' , CL~ R r; .,.r ::r r . r~' ~
P blic State of Flori at bar . ~
Notary u g , ,
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My Commission Expires: January 21, 1982 ~ - '
~s insirumer.t was prepared by . •
~t'vtTT J.:,GAM.S . .
~,~;e ~~.n,y. M~nib~:~ • ~~RX299 P,~ 407
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