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NOTICE OF LIEN 4560
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 Nine Hundred Eighty-five and 96/100's
985.96 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
David Pitcock of 3107 Navajo Ave., 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 '
i
of welfare assistance, as follows:
HOSptal: Lawnwood Medical Center
Date Admitted- 8/22/79
Date Discharged: 8/27/79
actual bill
Number of Days: 5 at $ per day = $ 985.96
Less Credits nonce
Amount of Lien $ 985.96
Dated at Fort Pierce, Florida, this ~ day of
t
(Signature)
COUNTY ATTORNEY
~ (Title)
{ SWORN to and subscribed before me
i
s ~ J RQG~~: f'0 TRAS~
this q day of ? 19 79 ctE~;iceircutT ~eur~ j
. ~ _
a~ d.c. - ~ ` ~ 466
560
Notary Public State of Florida t Large
.
My Commission Expires : ~ _ 01 ~°Z
L
~ This instrument was prepared by
St. Lucie Cc.,rty, ~,.~n~r,..r.at~cn 3t~3.
? rr~f~~, . ?~riu~ ao^~X 3~0 Pa~f 19~