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4+23'79
NOTICE OF LIEN
STATE 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
Cotmmissioners of S t. Lucie County, Florida, claims a lien in the
amount of Eight Hundred Thirty-two and 20/100's
832.20 ) Dollars a ainst an real or
g y personal property or
interest therein presently held or after acquired by
(Name of
Eula Mae Cockrell Of 1604 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 ira Cockrell ,
spouse Of said Eula Mae Cockrell
(Relationship)
as follows:
Hospital: Lawnwood Medical Center
Date Admitted- x/29/79
Date Discharged: 8/279
Number of Days: 4 at $ 208.o_~er day = $ 832.20
l
~ Less Credits none
$ 832.20
Amount of Lien
~ Dated at Fort Pierce, Florida, this ~ day of (.11C7~ tis~?,
~ 191c '
(Si atu e)
COUN TTORNEY
(Title)
4623'79 -
a SWORN to and subscribed before me 1919 OCT 12 Ate OS
~ thi8 da Of , 9 79 ST
LUCIE~CQUNTY flA.
ROGER POITRAS
CLERK CIRCUIT COUkT
~ ~ ~ i
Notary Public State of Flori a at Laicge
My Commission Expires: / -~~-~Y
~ r
This instrument vacs rrr--o ~3 by ~ ~K~ Q
St. facie Co.:.t„ ,.-.•.r...~ro,.~.~ ::~dg. ~ P~1~~L.FvV~
Fort Pierce, t brida