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436696
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 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
(Name of
Lillie Washington pf 2901 Ave. F, Ft. Pierce, FL t
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Diana Washington
daughter of said Lillie Washington
(Relationship)
~as follows:
Hospital: Lawnwood Medical Center
Date Admitted: 1/11/79
1/15/79
Date Discharged
t
Number of Days: a at $ 179.00--per day = $ 716:00
Less Credits none
Amount of Lien $ 716.00
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Dated at Fort Pierce, Florida, this 7th day of March ~ 3
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(Si atu e)
~ County rney
( (Title)
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SWORN to and subscribed before me - ~
7th March ~ 9 79 4~3669Fi
this day of ~
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Notary Public State of Florida a Large r ~ . , , ~ .
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My Commission Expires: 1-21-82 -
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jhis 1n;irument was preparad by
[:tY177 J. ADAMS
~ .St. Lucie Co..rty, r:~~mn~>t~ation 3idJ,
R F 2264
~ Fcrt Fii.~:e, ~:on.:a BOGK 4 Pac. .
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