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NOTICE OF LIEN i
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STATE OF FLORIDA -
COUNTY OF ST. LUCIE
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NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Hoard of County
Commissioners of St. Lucie County, Florida, claims a lien in the #
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amount of TWO Thousand One Hundred Forty-eiqht nnd no/100's ,
2,148.00 ~ Dollars against any real or personal property
or interest therein presently held or after acquired by
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Leroy Gordon Of 405 N. 13th St., 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:.
Lawnwood Medical C~enter j
Hospital: ~
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Date Admitted: 5/23/78 ~
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Date Discharged: 6~~~78 ~
Number of Days: 12 at $ 179.0o per day = $ 2.14s.oo ,
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I - none ~
; Less Credits
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~ Amount of Lien $ 2,148.00
F
i Dated at Fort Pierce, Florida, this ~'x~ day of
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€ June , 1~9 ~
:
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~ (Sign ure)
~ COUN TORNEY
~ (Title)
449145
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'319 Jtl`~ 2b ~ ~ ~7 '
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~ SWORN to and subscribed before me pEGUKUW
~i~~I~~OUNTY.FLA. a.
~ 0 E POITRAS
~ this f'~ day of June ~ lg 79 ~~gKCIRCWICOUR~ ~
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~ k~CflFi1 `.'E°~r?_~ . :
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Notary Public State of Flori a a~'~~ge ~
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My Commissioh Expires : f ` ~ ~ , . ~
ry "~~X.ir-- ~~~'i~ "~.,s~; ~ ~
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'~his instniment was prepared by ,,i~~• w~
DEVITi J. ACAN.S s•.,~G,r`~:'`' 1". ~
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~ ty~ie Counly, kdrr,in~.t. alion 3t,~7. ~r.•;;;f1i ~ - i • ~ ~ R 3i1 ~~,E~ ~V ~
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~ Fort Pierce, itor~do VV
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