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NOTICE OF LIEN 4";
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STAT~ OF FLORIDA ~
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COUNTY OF ST. LUCI$
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NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2161, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of One Thousand Seventy-four and no/100's
i,074.00 ) Dollars against any real or personal property ,
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or interest therein presently held or after acquired by -
JerrY Caldwell Of 109 N. 22nd St., Ft. Pferce, FL ~
6.
(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 followss.
Hospital: Lawnwood Medical'~Center
Date Admitted: 5/16/79 ~
Date Discharged: 5/22/79
Number of Days : 6 at $ 17 9. 00 per day = $ 1, 07 4.00
Less Credits none
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Amount of Lien $ 1.074.00 ~
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Dated at Fort Pierce, Florida this day of
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SWORN to and subscribed before me , '
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