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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 Fi5-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
Two Thousand One Hundred Forty-eight and no/100's
amount of ;
,d8 00 ) Dollars against any real or personal property f
or interest therein presently-held or after acquired by
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Vincent Jefferson pf 1402 N. 24th St., Ft. Pierce; FL
(Indigent or Recipient) (Address)
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for money directly spent b}• St. Lucie County for the care, hospital-
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Indi ent t
ization, sustenance or maintenance of said g or Recipient
of welfare assistance, as follows: ~
Hospital: Lawnwood Medical Center
Date Admitted: /79
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Date Discharged: 2/13/79
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Number of Days: 12 at $ 179.00 per day = $ 2.148.00
none
Less Credits
Amount of Lien $ 2,148.00
( 7th
Dated at Fort Pierce, Florida, this day of
March 19 79 i
(Signatu e)
County At ney
(Title)
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SWOtZN to and subscribed before me ~~~~$Q
7th March ~ 19 79 l ~ ~ = 39
~ this day of
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2 Notary Pu lic State of Florida La•>~e~-',:;.. i~
My Commission Expires : .~,:G~r'
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This instrument wns or ~
St. i v! ~ ~ J. -..,,;rno ~ gOpK~4 yAG.
Lucie Cou,ty, :,,:,.,:;„,t, e!;;;n B!
~ Fcrt Fi~rcp dg.
Florida
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