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NOTICE OF LIEN _ . E
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STATE OF FLORIDA ?
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COUNTY OF ST. LUCIE T
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~NOTICE is hereby given that pursuant to the provisions of
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of Courity =
Commissioners of St. Lucie County, Florida, claims a lien in the ~
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amount ot Two Thousand One Hundred Forty-eight and no/100's
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($~,.,.14s_on~ ) Dollars against any real or personal property ~
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or interest therein presently held or after acquired by
Helen Peak of 1606 Ave. D, Ft. Pierce, FL
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
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ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Lawnwood Medical Center _ .
Hospital:
Date Admitted: 2/9/79
Date Discharged: 2/21/~9 '
Number of Days: 12 at $ 179.00 Per day = $ 2.148.00
Less Credits ~.ne
j Amount of Lien $ 2.148.00
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Dated at Fort Pierce, Florida, this ~ day of
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April , 1979
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` Signat re)
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~ Co~nty Attorney ~
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~ (Title) }
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- 441122
~ SWORN to and subscribed before me ,79 ~o, ~ ~;.59
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~ Notary Public tate of Florida at L ge . -~v~
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~ My CommisslOn Expir~s: / ~ _ '
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~ This instcu^,::,:i w~.s .,..,?arcd b~/ _ , !
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r St. Lucie Ca+niy. Ac:m~~istralion Blds. •
~ Fort Pierce, Florida ~ ~
600K~
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