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NOTICE OF LIEN ~ 1
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 One Thousand Five and 45/100's
1,005.45 ~ Dollars against any real. or personal property
or interest therein presently held or after acquired by
Edith Wrobleski pf ~ 911 Pine Dr., 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
Date Admitted• 8/23/79
8/30/79
Date Discharged: -
actual bill
Number of Days: 7 at $ per day = $ 1,005.45
Less Credits none
6
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Amount of Lien $ 1,005.45
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r
Dated at Fort Pierce, Florida, this day of
s
d
- ( ignat re)
COUNT TTORNEY
~ (Title)
:~~9 OAT 12 :.2: ~ Q~
41;
y ST
I~UCIEhCQUNTY F~IlA
SWORN to and subscribed before me ROGER POITRAS
CIERK CIRCUIT CQUAi
~ this day of 19 79 ~
42384
~ Notary Public State of Florida Large „
My Commission Expires : / ~ ~ .
This instrument wos prepered by -
St. facie Co..;.ty, ~,:r~.i:~a~ac:~~i 3! .
Fort Pierce, ilo.i;;u g;J~K318 PA~E~.27i0