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4'711865
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 Two Thousand Nine Hundred Seventy-eight and 95/100's
.j
2.978.95. ) Dollars against any real or personal property or
interest therein presently held or after acquired by
' (Name of
Charles Moore Of 1104 No. 23rd 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 Michael Moore
son Of said Charles Moore ~
(Relationship)
as follows :
HOSpital: L.awnwood Medical Center
Date Admitted: ~ 9/11/79
Date Discharged: 9/29/79
actual bill
Number of Days: 17 at $ per day = $ 2,978.95
k
i
Less Credits none
i
E Amount of Lien $ 2.978.95
Dated at Fort Pierce, Florida, this ~ 7 ~ day of - ,
€ -
E 19,x_. ~
(Sign u e)
~ COUNT TTORNEY
(Title)
4'7(1865
SWORN to and subscribed before me ~
this ,,2 7 ~ day of ~f`.i~c.~-~,~ , ~ 9 7 9 ~~9 28 ~ I I = I T
' ILEO A D REC 0
~ ~ 2 ---~~r ' 4~ ~~yC Lt~; ` . , . , ~ ~ 8t LUCj~COUN~ A,
Notary Public State Florida at_~~p ~e aERltq~
My Commission Expires : / - ~ ~-A~ •
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This instr.rrner.! ~s ~
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St. Lucie Cc.,.:}, ''r,•,~, n~~~~ - --A~~ ~