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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 ~n the
amount of Three Hundred Fifty-eight and no/100's
358.40 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
John M. Smith Of Rt. 5, Box 756, Ft. Pierce, FL
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
Eric Smith
ization, sustenance or maintenance of
son Of said John M. Smith
(Relationship)
as follows:
Hospital: Lawnwood Medical Center
Date Admitted: 1/5/79
Date Discharged: 1/7/79
Number of Days: 2 at $ 179.00 Per day = $ 358.00
Less Credits none
~ 358.00
Amount of Lien $
~ Dated at Fort Pierce, Florida, this 7th day of March
19 79
~
( ignat re)
County Attorney
(Title)
zECORnED
SWORN to and subscribed before me -
this 7th day of March ~ ~9 79. ~;3~ji69'~
~ Notary Fublic State of Florida at rge ~
- C~ _
My Commission Expires: 1-21-82 _ ~
,
This instrument was pre?gyred by
~ GEVIi7 1. E,LA:^~
sooK 3U4 oA~~2266
~ St. Lucie Cor,nt~, h:%«~,.,..~ ,a'ati
Fort Piece, r ?o~:::~
- -
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