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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
One Thousand Nine Hundred Ten and 83/100's
amount of
1.910.83 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Kevin Morqan Of 612 B Holly 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
of welfare assistance, as follows:
Hospital• Lawnwood Medical Center
Date Admitted: 8/31/79
Date Discharged: 9/11/79
actual bill
Number of Days: 11 at $ per day = $1,910.83
Less Credits none
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Amount of Lien $1.910.83
Dated at Fort Pierce, Florida, this ~ 7 day of
ignature)
:
COUNTY A TORNEY 1
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SWORN to and subscribed before me L~`7(?S66
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this -~7'~'~ day of ~~.e~k-~/ 19 79 .
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R Notary Public State o Florida .at .L• ge• . TR/? 1
' : Q 7 ' - ~gM VERIftEO
My Commission Expires : _ ~
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This instrurrent wos prea~red by i
:.t. (,o_ray, i.w.~.Dt.t.cL.?~l 3id~. -
Lucie