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NOTICE OF LIEN 4~;`~64
~TATE 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 '
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amount of Five Hundred Thirty-seven and no/100's ,
537.00 ) Dollars against any real,or personal property
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or interest therein presently held or after acquired by
Shirlev ~I,.ae Robinson Of 2903 Ave. G, Apt. A, Ft. Pierce, FL '
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(Indigent or Recipient) (Address) ;
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for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or mai~tenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Lawnwood Medical Center :
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Date Admitted: il/25/78 ~
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Date Discharged: li/28/78 ?
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, Number of Days: 3 at $179.00 per day = $~37.00
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! none
f Less credits ~
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€ Amount of Lien $ 537.00 ~
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E Dated at Fort Pierce, Florida, this day of ~
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~ {Signature `
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~ County Attorney
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~ SWORN to and subscribed before me ,~9 t~"~~ 9~!~ g' Os Y
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, this ~ da of .c.., , 19 . . . ~
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~ Notary Public State of Florida at Lar e, ' ;
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u; My Commission Expires: / - _ •
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This instrument was prepared by . • ~ ~ ~ ' . `'t -
G LEViTT 1. ACAMS ' ' ,
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vt. ~liCi6 ~GlR1Y, l,;.;~;~r„~trat;on 9id~~ . r, p A"~ .
Fart Pierce, tlorida g~~!( W vFv
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