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NOTICE OF LIEN
STATE 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 One Thousand Nine Hundred Sixty-nine and no/100's
1,969.00 ) Dollars against any real or personal property
or in~erest therein presently held or after acquired by the estate of
Walter Collins of 2703 Ave. L, Apt. 40, 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: .
Date Admitted: 9/27(78
Date Discharged: l0/8/78
Number of Days: 11 at $ 179'~Q per day = $ 1,969.00
~ Less Credits none
E Amount of Lien $ 1,969.00
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Dated at Fort Pierce, Florida, this 28th day of
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November , 1978 , \
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~ (Signatu
Courtty Attorney ' -
(Title)
~ ~ILEO RECORDED
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SWORN to and subscribed before me ~r 4`~j~,s'7 8 '
t8 G~~ 5 AM 9~
~ this 28th day of November ~ 1g78 ~ I~
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Notaxy Pu lic State of Flori at Large'~ .
My Commission Expires:January 21, 1982~_
This instra~~._ni . r`-Po~ed by - ~ , ,
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5#.lucie Co~rty. h.;~:~~:,;.t.ation d:3g. '
fort Pierce, rb~~ua ' ~ 4i4
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