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4~f S68
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 One Hundred Seventy-one and 55/100's
1,171.55 t
) Dollars against any real or personal property
or interest therein presently held or after acquired by
John Pinckney Of 911 Ave. I, 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:
i
Hospital: Lawnwood Medical Center f
Date Admitted: 9/21/79 `
Date Discharged: 9/27/79
actual bill
Number of Days: 6 at $ per day = $ 1,171.55
i
Less Credits none
$ 1,171..55
Amount of Lien
i
Dated at Fort Pierce, Florida, this ~ day of
19 7~.
a
(Signatur )
COUNTY ATTORNEY
(Title)
SWORN to and subscribed before me r1..~, _ , : r,
SLL'JC:` C'~..~~Y.. s
CLEf,1t C1: CJ.T ~
this day of 19 79 ` ' `
~ ~
c,~d 46568
Notary Public State of Florid at Large
My Commission Expires : ~ ~ ~ ~
This instrument vices prepared by
LLYiTT J. ~;GA'~$ 1
~ SI. Lucie C.U.t.t ~ n
~ y, =+c.r;„n,~;, anon i3fd ~R 320 p~E 1932 ~
Fort Pierce, Fbrida t