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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 Nine Hundred Twenty-nine and no/100's
929.00
) Dollars against any real or personal property
or interest therein presently held or after acquired by
Rawleigh Morgan pf 428 Dundas Court, Ft. Pierce, FL
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital- E
r
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
HOSpltal: Lawnwood Medical Center
3/20/79
Date Admitted:
Date Discharged: 3/26/79
Number of Days: 6 at $179.00 per day = $ 1,074.00
145.00
Less Credits
Amount of Lien $ 929.00
,
` Dated at Fort Pierce, Florida, this ~9 ~ day of
i ! ~
u_ h..l-~ 19 7~. ~
{Signature)
q COUNTY A ORNEY
(Title)
SWORN to and subscribed before me
rig=o ~4:~ c~:~::~: u .
SL/ S ROGER~F OtTRAS
this day of ~47`~:,~ 19 79 c~Ee~~cclrc~r; c~:~.RT/f
d,~. ~ _ 46566
Notary Public State of Flori at Large
My Commission Expires : ~ aP°L.
This ins?rum~nt wos prepared by
~t. iu~i~ Lo..cry, ,,...n::;,.~, s?d3. ~!;:~K 320 P.!GE
fort Fierce, Flo:ida
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