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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 Courity
Commissioners of St. Lucie County, Florida, claims a lien in the
Three Thousand Forty-three and no/100's ~
amount of ~
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3,043.00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Helen Peak of 1606 Avenue D, 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
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of welfare assistance, as follows:
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Hospital: Lawnwo~d tHp~~~at cenrPr ~
Date Admitted: 11/19/78
Date Discharged: 12/07/78
Number of Days: 17 at $179.00 per day = $ 3,043.00 ~
L-ess Credits none
j Amount of Lien $ ~.043.00
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~ Dated at Fort Pierce, Florida, this ~ day of
~ Apri1 , 19 79 '
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' (Signature ~
County Attorney
(Title) r~~-c ~ rJED.
- , ~ : ~ U!:TY. Fj
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441121_?
~ Sh'ORN to and subscribed before me 'T9 ~?~2 ~ 8 ~ 58
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~ this day of _ , 19~. r; . _ . .
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~ Notary Public 5tate of Florida at arge i~' ~ ~
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.My Co?-~mission Expires / -~-/-O ol ~
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" This instrument was prepared by _
LEYli7 1. ALAAA~ ~3'`~".
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~ St. Lucie Ca,nty, Adm~rn~t, ono~ 3td~. y~ ; U~ '
fort Pierce, Fbc~do 8~~~~ PA~ ~
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