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NOTICE OF LIEN
STATS OF FLORIDA `
CpUNTY OF ST. LUCIE
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NOTICE is hereby given that pursuant to the provisions cf ~
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie Cou~ty, Florida, claims a lien in the +
amOUnt Of Three Hundred Fiftv-eicht and no/to~~a
358.00 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Virainia Bouie ~ _ ~f -1~n~ L
Indigent or Recipient~ (Addres~
for money directly spent by St. Lucie County for the care, hospital-
Latoya Bouie
ization, sustenance or maintenance of ~ .
dauqhter of said Virginia Bouie
(Relationship) .
as follows: .
Hospital: Lawnwood Medica? ~Pntpr
Date Admitted: 2/26/~9 -
Date Discharged: 2~28~~9 -
Number of Days: ~ at $179.00 per day = $ 358.00 .
F none
~ Less Credits
~ Amount of Lien $ 358.00
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~ Dated at Fort Pierce, Florida, this ~ day of April .
79
19 . .
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_ ~ _ (Si atur ) . ~
County ney ;
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' (Title) ~:y~r ,~r;~ R~CORQED `
f , . ~ Ut~;~Y. FLr^ - ~
• ; . ~ i
SWORN to and subscribed before me 4~11.2~3
~
~ , this ~ ~ day of ~ , ~9~. - '79 ~ 8 ~ ~ : 59
~ { . T i
~ I •y• • ..r ~ "-i;~ .
~ Notary Public State of Florida a~ a=g~?,~` :
~ x ires • ' - .
~ My Commission E p / - ~
Tltit instnxnent was prep.~~d by .
. LCViii J. .'{:.r;i.•„~
St. lucie Co;.r?ty. A,.~n.~.~.i.at.on 3id~. U R~~
~ Fort PiQrca~ fbrida gOOK • E
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