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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 Twenty-four and 15/7.00's
624.15
) Dollars against any real or personal property
or interest therein presently held or after acquired by
George Richardson Of 1102 Ave. F, 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: 9/21/79
Date Discharged: 9/24/79
Number of Days: 3 at $ 208.05 per day = $ 624.15
Less Credits ran
Amount of Lien $ 624.15
Dated at Fort Pierce, Florida, this ~Jr day of
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(t.t-~t/ 19 7~. ~
~ (Signat e)
COUN ATTORNEY
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(Title)
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SWORN to and subscribed before me st•~'.rlE r{tyytY~f~~:
rcGL?; HOITRA
/ Ct.%nK CIF.CU41 C~~'~ ~
this ~ day of ~D~~~ 19 79 `'t? ~'=r " ~
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Notary Public State of Florida at
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My Commission Expires: l ' ~-~-0 ~
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~ This instrument was prepared by
~EVlfi J. t,;:A1~S i
St. Lucie Canty, i+L'~uilUiTOilCrl uldgi
fort Pierce, kloridcr d':`~K,~2~ pa(if~V~~