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449142
, NOTICE OF LIEN
STATB 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 County +
Commissioners of St. Lucie County, Florida, claims a lien in the F
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amouat of One Thousand Six Hundred Eleven and no/100's
;
f
) Dollars against any real or personal property
or interest therein presently held or after acquired by
Jimmie Gordon _of 1423 Ave. K, 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
of welfare assistance, as follows:
_
HOSpital: Lawnwood Medical Center
Date Admitted• 4/21/79
Date Dischargedz 4/30/79 .
i Number of Days: q at $ i~9_~o per day = $ i.6~~.00
i
~ Less Credits none
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~ $ 1,611.00
Amount of Lien
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E Dated at Fort Pierce, Florida, this ~O ~ day of ~
June , 19~~.
~ ' ~
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,
~ • (Signa ure)
~ COUNTY ATTORNSY
(Title)
~ -449142
~ i9T9 JUN 26 AN ~ 37
~
4 SWORN to and subscribed before me
~ FilEO ANO kECOkU~U
$LLUCIE C~UNTY.FLA.
this .~,0 day of June , 19 79 . CLERit C
RCUT CD ST
~ R~CC'D t'E=~r'• . .
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~ Notary Pu lic State of Florida t La~~
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My Commission Expires : f - ~ _ ~ ~ ~
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• insfrument was preaared by ~ ~ '1,r 't,
Tha f~' .~F
~ DEVITT 1. l.~~+,ti,~ O R
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~ ~ ~~,y. ~~:~~~,.~.o;,~, s.~,. . , - PAef 916
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~ fort Pierce, i ~ori;1~
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