HomeMy WebLinkAbout0916 . ;
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44914~ ~
NOTICE OF LIEN~ ~
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STATE OF FLORIDA ~
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COUNTY OF ST. LUCIE ~
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 County '
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Commissioners of St. Lucie County, Florida, claims a lien in the
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~ Three Thousand Forty-three and no/100's ~ ~
amount of
3,043.0o Dollars a ainst~an real or ersonal ro ert ~
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or interest therein presently held or after acquired by
Haze3 Doug2as p~ 815 Ave. C, Apt. A, Ft. Dierce, FF. ?
(Indigent or Recipient) (Address) ~ :
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for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indiqent or Recipient
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of we2-f~ar,e assistance, as follows:
Hospital• Lawnwood Medical"''~enter
Date Admitted: -~i~Si~9
Date Discharged: 4/4/79
Number of Days: 17 at $ 179.0o Per day = $ 3,043.00 ~
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` ' Less Credits
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~ Amount of Lien $ 3,043.00 ~
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Dated at Fort Pierce, Florida, this ~C^ ~ r day of
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June , 19 79. ;
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' ig ture)
C T ATTORNEY
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(Title) ~
449141 ;
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SWORN to and subscribed before me ~Np ~,E~{,;caco
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I~-~ June ~ 79 g tiOGER
POITRAS ~
~ this - c day of , 19 . «£~KC~RCU~tcov
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Notary Pu lic State of Florida a~~~S~'~,It}~'~'~,. • - '
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My Commiss ion Expires : a'~ ~ .
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r c~e:! 3y ~ - 3 Z;~. e
~ (nstntment wos p ~P ~~j . ; . -
~ GEVITT 1. ACE.~+~S . ~ ~ ~
~ $t. Luc~e Cctin?y l+dm~~~,.n at«+ ~111 =:;~C''1 ~ ~ . - ~
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~ ~ort N~erce, : ~~<<s~ . ~ ,~.lj: • ~ R 31i 915
ao~K ~ACE ~
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