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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 Five Hundred Thirty-seven and no/100's _
537.00 ) Dollars against any real or personal property
or interest therein presently held or after acquiresi by
Katie Jackson of 1903 Ave. O, 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
1/12/79
Date Admitted•
Date Discharged: 1/15/79
Number of Days: 3 at $ 179.00 per day = $ 537.00
Less Credits none
~ Amount of Lien $ 537.00
f
Dated at Fort Pierce, Florida, this 7th day of
~ ~ March 19 79
~ ignature
County Attorney
(Titl e) '
_ : ~:~CORDE~~
F~,•.
SWORN to and subscribed before me
~a~s
7th March 79 ~ ~Z Q~4 ~ ~ y0
this day of 19 7~
• `7'
Notary Public State of Florida at Large
• . -
My Commission Expires 1-~g~,~
~ ~ •
This instrument wes prepared !~y = ) t
S . .
St. Lucie Cv~rty, i,:in~~r+:~;:a~.:~ : iiiay.
~ fort Pierce, Florida t1 R ~ '
~0~
_