HomeMy WebLinkAbout0914 .
449139 ~ `
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NOTICE OF LIEN -
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STATE OF FLORIDA . ~ ~
CpUNTY OF ST. LUCIE ~
NOTICE is hereby given that pursuant to t?~e provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County '
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Commissioners of S t. Lucie County, Florida, claims a lien in the ~
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amount of One thousand Three hundred Sixtv~nine and 4~/tn~~ i
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1,369.40 ) Dollars against any real or personal property or t
interest therein presently held or after acquired by i
(Name of ~
Florine Hickman Of 1214 Ave O. Ft Pierce. Fr.
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital- ~
ization, sustenance or maintenance of Derrick Hickman .
son of Said Florine Hickman ~
(Relationship)
as follaws:
Hospital: Lawnwood Medical Center
Date Admitted- 3/24/79
Date Discharged: e~~~~a
' actual bill
r Number of Days: 13 at $ per day = $~_s~~.4o-
E
~ Less Credits _ 200.00
~ 1,369.40 ,
; Amount of Lien $ ~
Dated at Fort Pierce, Florida, .tllis ~O day of June ,
19 ~ 9 .
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~ ( ignat re) _
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CO TY TTORNEY
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F ' (Title)
~ 449139 -
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~ SwORN to and subscribed before me
~ ~ 9 . . . `9i9 JUN 26 ~ 36 ~
~ this ~day of June . ~ ?.2. 3
~ ST
lUClE CGt1NTY
flA• ~
> ROGER POITRAS
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' ~ ~ q,ERK CIRCUIT CO
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R~ CCRO \'..r -~•f•
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Notary Public S tate of Flo da a ~~:~t~.; s~;
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v~ ~~v`r~-•~:~ ~~jT;:t,~°+'' ~ .
a . - ~ 4 r.C_:
My Commission Expires : ~ ~ o - _ ` ; ~i:~~ I
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Th+s instrwr~ent wa: prepared by ~.r ~
~ GEYtTT J. ACAMS . ~Q~!! 3i10~~~ 9~.3
~ s~. ~~~e co_~:~Y. ~~~s+..;..t ur~on 31~~. .