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NOTZCE 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
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amount of Five Hundred Thirty-seven and no/100~s
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53~,00 ) Dollars against any real or personal property or ~
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interest therein presently held or after acquired by
_ (Name of
Shirjev Alexander of 1105 N. 29th St., Ft. Pierce, FL
Indigent or Recipient) (Addres ~
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Theresa white .
daughter of said Shirley Alexander
(Relationship) ;
as .follaws :
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Hospital: La~rnwood Medical Center
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Date Admitted: 11/30/78 ~
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Date Discharged: 12/3/78 • ~
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Number of Days: 3- at $ 179.00 per day = $ 537.00 ~
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i Less Credits none ;
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' ~ 537 .00
Amount of Lien $ •
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~ Dated at Fort Pierce, Florida, this vZ~i ~ day of
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(Sign u e)
~ County Attorney
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~ (Title) . ?~CORDEO
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SWORN to and subscribed before me -
~ '~9 E"-; 2 M~4 9' 07 3
{ this ~ day of , ~9~. ' ~
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Notary Public State of Florid at Da~g~e ~
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~ My Commission Expires : f - Z/-~-~ . ~ - ~
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~ This instn;fnent wos prepared by R
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