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NOTICE OF LIEN ~a~~1
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 Seven Hundred Sixteen and no/100's
716.00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by '
James Adger of 895 N 26th 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
.
1/21/79 ;
Date Admitted: 1
Date Discharged: 7~7cL
Number of Days: 4 at $179.00 per day = $ 716.00
Less Credits none (
Amount of Lien $ 71t;_nn
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F Dated at Fort Pierce, Florida, this 7th day of
~ March 19 79
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. (Signatu e)
County Att y
(Title)
~.1': ~ -
Sjn'ORN to and subscribed before me ~~6~1 .
~ this 7th day of March ~ lg
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1 _ {
~ tiotary Public State of Florida t Large - ,
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My Co:n-nission Fxpires:___ 1-21-82 _ . ~ -
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This instrument wos prepared by •'t,_
~ St. Lucie Co_r,?y, r, _.r.lni;t. a:..i i:;.~~• ~ R ~4 QA~F_2r~ z
5eo!c t
~ Fcrt Fierce, tle:ioa ~
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