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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
Commissioners of St. Lucie County, Florida, claims a lien in the
amount Of Six Hundred Ten and no/100's
610.00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Michael James Of 2904 Ave. G, 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 Medical Center
6/28/79
Date Admitted•
Date Discharged:_7/1/79
actual. bill
Number of Days: 3 at $ per day = $ 610.00
Less Credits none
i
Amount of Lien $ 610.00
Dated at Fort Pierce, Florida, this •y day of
~ ` 192,.
t
t
• (Signs u e)
COUNTY ATTORNEY
(Title)
1929 OCT 12 eE
FF1LE0 AtiG PEC~rut u
SWORN to and subscribed before me ST.LUCtECCti>7TY.FtA.
~ ROGER P017RAS
CLERK CtRCUf ~ COJ T
this O ~ day of ~ C.I~~.~f 19 79 RECCitO ~EF"F:fr' -9
4fi2383
d ~
Notary Public State of Florida a ~,~rge
My Commission Expires:
TFds instrument was prepared by
GEViiI 1. Aut.'.1~
St. Lucie County, i+.;r~„n~.c c~:c.i u~..13. (lK ~Q P~~
Fort Pierce, tlo~~do g~~ V