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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 ~
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Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Two Thousand One Hundred Forty-eight and no/100s
2,148.00 ) Dollars against any real or personal property
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or interest therein presently held or after acquired by
Vincent Jefferson pf 1402 N. 24th St., Ft. Pierce. FL
(Indigent or Recipient) . (~ddress)
for money directly spent by St.~ Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient `
of we'lfare assistance, as follows: ~
Hospital: Lawnwood Medical Center
Date Admitted: 9/2S/~8
Date Discharged: l0/9/78
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Number of ~ays: 12 at $ 179.0o per day = $ 2.148.00 ~
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Less_ Credits none
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i Amount of Lien $ 2,148.00
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Dated at Fort Pierce, Florida, this ~ day of
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~ (Signat e)
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~ County Atto ey
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~ _ ~c'; r=•'"~COR~EO
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~ 4:i~bi66
~ SWORN to and su}x~cribed before me Q~
' '79 ~ 1~~ 9 '
y this v~ ~ day of r , 19~.
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4 Notary Public State of Florida a Large _ ~j
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~ My Commission Expires: / ; '
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~ This instnimenl was prepared by " ~ - ~ {
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~ GEVITT J. ADAMS
„ OR wr[ fi
St. LuCio ~o:.n:r, l,::i:i,ni.E: ot~:.t1 ~ g0~~ ~4 r~VC
' • Fort Nierce, t;crida - ' `±w.,,~..-- j
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