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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 Three Hundred Fifty-eiqht and no/100's
358.00
) Dollars against any real or personal property
or interest therein presently held or after acquired by
Lester Richardson pf S10 N. 16th St., Ft. Pierce, FL
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintehance of said Indigent or Recipient
of welfare assistance, as follows: -
, Hospital: Lawnwood Medical Center
10/14/78
Date Admitted- -
Date Discharged: 10/16/78
Number of Days: 2 at $ 179.0o per day = $ 358.00
none
Less Credits
~ $ 358.00
; Amount of Lien
i
~ ~ day of
Dated at Fort Pierce, Florida, this
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~ SWORN to and subscribed before me ~ t~J~~ Z A~ ~
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.f this v~G day of , 19~.
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~ Notary Public tate of Florida at rge, •
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My Commission Expires : / ~ . ' ' • " ~ ~
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~ This instrument was prepa~ed by ~ - ' . •
~ GEYIR J. AGAMS .
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~ Sf. ltxie Co..niy, /ldr,~~iti~:ira;;u? ~ld~. ~~{~04 QA~tE 851 i
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Forf Pietce, Fbrida gOOK ?
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