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NOTICE OF LIEN 4~;
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STATE OF FLORIDA .
COUNTY OF ST. LUCIS
NOTICE is hereby given that pursuant to the provisions of ' •
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County I
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Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Eiqht Hundred Ninety-five and no/100's
895.00 ) Dollars against any real or personal property ?
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or interest therein presently held or after acquired by '
Beth Pye ~f __Rt ~ Box 788, Pt_ Pierce. PL
(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: Lawnwood Medical Center ~
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Date~Admitted: 11/8/78 ~
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11/13/78 ~
Date Discharged: ;
Number of Days: 5 at $ 1~9.0o per day = $ 895.00
~ Less Credits none - ;i
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Amount of Lien $ 895.00 f
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~ Dated at Fort Pierce, Florida, this o~ ~ day of
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~ (Signatu e) `
~ County Atto ey
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~ (Title) ~ ri~CORDED
S . ~ . ' ~ ~ ^ ~,_','T` • r ~r'• i
~ L[ala.`~~ • i
~ SWORN to and subscribed before me •79 ~~r~; 9: ~s '
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this a~ day of ~ , 19~. ~ 4
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~ Notary Public State of Florida Largg,~~ . ?
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My Commission Expires : / -2/-~02 - - - ~
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~ This instrument wes pr~Gared by ~ , , _ -
~.g ~tviri ~.:~:~rs - - - ' - o R ~(~4 S~
~f st. tuae to_~tr, i.~,. .~,.u:,~ :,;d~. ' . . " , b00KtJV PAGE
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