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461
NOTICE OF LIEN
t
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 Four Hundred Eighty-one and 75/100's
1,481.75
) Dollars against any real or personal property
or .interest therein presently held or after acquired by
Gloretha A. Knowles Of 426 N. 18th St., 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
6/4/79
Date Admitted:
Date Discharged: 6/14/79
actual bill
Number of Days: 10 at $ per day = $ 1,481.75
none
Less Credits
a
i
Amount of Lien $ 1,481.75
I
Dated at Fort Pierce, Florida, this O ~ day of
QC%~~ 19 7
F
( ignatu ej
COUNTY ATTORNEY
(Title)
~
~~:s cat i 2 : ~ n~
y SWORN to and subscribed before me FsIED~~1c~ wt: u+cyy~
ST UC1E COUl1~~~F1~_
~~G POITTiTRA6
this ~ day of ~~%C~~ 19 79 ~Ep~~~RCUi~~T~
RECORD ii-P1='t~;--
i
462,391 '
•d~
Notary Public State of Florida t Largff~': ~ ~
_ ~ ~ '
My Commission Expires: ~ ~
This Insfrvinent was prepared by
~ LEV~I ~ J. A~f..tit:,
St. Lucie Co,.nty, f+,.~~~~~a t.U~.:„i bt~~. ~r
~;,u Y~ejce, .Icr~aa gO~K~~V P~GE~ l ( ~