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NOTICE OF LIEN
STATE OF FLORIDA .
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of •
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Chapter 65-2181, Laws of Florida, Acts of 19.65, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount Of One Thousand Seventv~four and no,L100's
1,074,00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Paul Jones of 1,,,~05 N. l,5th St.. Ft. Pierce. FL
(Indigent or Recipient) (Address)
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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: 12~8~~8 ~
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$
12/14/78 '
Date Discharged:
Number of Days: 6 at $ 179.00 per day = $1,074.00
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Less Credits none ~
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! Amount of Lien $ 1, 074 .00
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Dated at Fort Pierce, Florida, this o~ ~ day of
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~ Signature
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G
g Cnnntv Att,RrnAv
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4 SWORN to and subscribed before me . ~ F+~
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t this ~G ~ day of ~i~'t-cc . 19~. . ~ I
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Notary Public State of Florida a L~qe.. , ~
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r My Commission Expires: / - .2-/-~.Z = - - ~
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~ ~ ared by ~ ~ . •
~ 7his insfrumen? was prep . ,
~ LiVii7 J. A~AtAS ~
St. luc:e Co,.rty, E.:;~:.: ~~:.::~~on ?~;J}. . U R~4 PAGE U~~
- Fo~t P~erce, rbrida BOOK
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