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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 One Thousand Eight Hundred Seventy-two and 45/100's
1,872.45 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
David Conley pf 702 N. 20th St., Ft. Pierce, FL
(Indiyec~t 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: 8/27/79
Date Discharged: 9/5/79
Number of Days: 9 at $ 208.05 per day = $1,872.45
none
Less Credits
i
f ~ Amount of Lien $ 1,872.45
4
Dated at Fort Pierce, Florida, this ~ ~ day of
s
€ ~ GG~L 19 7
(Signature
COUNTY ATTORNEY 2
(Title)
1919 OCT t? A!~ 07
FIi.EO ANQ kCu:+Li U t
~ SWORN to and subscribed before me SROGER PO
TRAS~~
CLERK CIRCUIT CCU. T
~ , RECORD ~'L('Is•r~
this day of ~C~t~~~? 19 79 g
46~g9 ~
Notary Public State of Florida La'Xge
f
My Commission Expires: /
This instrument was prepcsred by •
t.tVfTT J..~:.P.M;
St. Lucie Co.,ntr, :.~:.,~,~,.r.ur.wi ~t.~a. a~.~x318 ~acE1275
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