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NOTICS OF LIEN ~
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~STATE OF FLORIDA ~
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COUNTY OF ST. LUCIE
NOT~CE 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
amount Of One Thousand TWO Hundred Fifty-three and no,1100's
1,253.00 .
) Dollars against any real or personal property
or interest therein presently held or after acquired by
HoWard Smith of 712 Ave. E, 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 t+ledical'rCenter .
Date Admitted: 5/14/79
Date Discharged: 5/21/79
. Number of Days: ~ at $ 179.0o per day = $1,253.00
none
Less Credits
~ - Amount of Lien $ 1,253.00
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Dated at Fort PiLrc'~, Florida, this ~ rj day of
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(Signatu
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~t ER P017RAS ~ COUNTY ATTORNEY
p„~~ CIRCUIT COURt
(Title)
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¢ SWORN to and subscribed before me
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~ his day of J U 19
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~ Notary u~lic State of Florida at arge ~ ~1.~
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