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NOTICB OF LIEN ~
45r~646
STATS OF FLORIDA.
~OUNTY OF ST. I.UCIB
NOTICS is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida., Acts of 1965, the Board of County
Canniasioners of St. I,ucie County, Florida, claims a lien in the
alnOUtlt of One Hundred Seventy-three and 75/100's
1~3.75 ) Dollars against any real or personal property or
~interest therein presently held or after acquired by
, (Name of
Kim Smith Of gt 5. Bex T56~ Ft. Pierce. F-L
Indigent or Re~ipient) t~?aare8~1 ~
for money directly spent by St. Lucie Countv for the care, hospital-
isation, sustenance or maintenance of ~ric Smith
.
con Of Sd1C3 Kim Smith
(Relationship) -
as follo~ws: '
Aospital: Lawnwood Medical Center
Date Admitted: 1a~Q,L?8 .
Date Discharged: io/5/79
~ actual bill
Number of Days: 1 at ' per day = $ 1~3.75
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' Less Credits none
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~ Amount of Lien $ 173.75
Dated at Fort Pierce, Florida, this day of .JcJ~C ,
19 79 .
~919 Jll~ -9 1' 27 (si natur ) .
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Lzp /~H~ FECOKUcU COUNT AT RNEY
LUCiE COIJl1TY.flA.
~ERP4ITRAS ~ (Title)
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~ SWORN to and subscribed before me
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~ this ~ day of Jv~~_. ~9 -
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~ Nota Public Sta e of Flori at Lar e , . -
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My Commission Expires: ~S r'~'• :
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