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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 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Eight Hundred Ninety-five and no/100's
895.00 ) Dollars against any real or personal property j
or interest therein presently held or after acquired by
Charles Wagner of 119 N. 29th St., Ft. Pierce. FL
(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
Date Admitted- 11/29/78
Date Discharged:/a/.7s _
Number of Days: 5 at $ 179.00 per day = $ 895.00
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Less Credits none ,
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Amount of Lien $ s9s_nn
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! Dated at Fort Pierce, Florida, this 7th day of
'i
March 19 79
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(Signatu e)
County Atter
(Title)
-r : ?=--CORDED
-
S1n'ORN to and subscribed pefore me 4a~'~•n~
e a~'VOc~7
this 7th day of March 19 79 'Z9 ~2 ~ ~ ~ y
,
Notary Public State of Florida a L~~~g•••~~•-•.:
1-21-82 .
My Commission Expires:_ r,.
This instnxnent was prepared by ~
GE4'J7T J. ;L~,;.1S /
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St. Lt;cie Cc_nty,,:_,,,,rrt:crion etdp;
fort Fierce, ilaida g~~~
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