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NOTICE OF LIEN
STATE OF FLORIDA
CQTlNTY 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 One Thousand Seventy-four and no/100's
1,074.00 ) Dollars against any real or personal property or
interest therein presently held or after acquired by _
(Name of
Debra Harrison Of 1401 G. Terrace, Ft. Pierce, FL
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of ya~t,~n uarricnn •
son of said Debra Harrison
(Relationship)
as follows;
HOSpital: Lawnwood Medical Center
Date Admitted: 12/22/78
12/28/78
Date Discharged:
Number of Days: 6 at $179.00 per day = $1,074.00
Less Credits none
i
Amount of Lien $ 1 , 07 4 .00
Dated at Fort Pierce, Florida, this 7th day of March
19~~. '
. (Si nat re)
County - orney
(Title)
SWORN to and subscribed before me
s this 7th day of March ~ ~g 79 4~ ,69~
Notary Public' State of Florida at arc~e ~ ~ - -
1-21-82 ~ ~ - .
My Commission Expires: _ _ ti~.-
re ored ~'Y • • . -
lhif instn;meat was p P
GEVITT 1. ~,LAn'~5
St. Lucre Cour~y, r~,dr~::c~~,r,a,.~a
0 R~ 3U4 YAGE~~I~
500.
Eort Fi~rc~, . ,u._ ~
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