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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 Three Thousand Five Hundred Thirty six and 85/100 s
3,536.85 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Jimmy Cox Of 525 No. 10th 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 said Indigent or Recipient ~
of welfare assistance, as follows:
HOSpital• Lawnwood Medical Center
9/21/79
Date Admitted:
Date Discharged: 11/4/79
Number of Days: 17 at $208.05 per day = $ 3,536.85
Less Credits none
_ Amount of Lien $ 3,536.85
Dated at Fort Pierce, Florida, this ~ 7 ~ day of r
/ /
Signatu e)
COUNTY TTORNEY
(Title)
f
SWORN to and subscribed before me 4 I`l~r~
this .27'x` day of ,(J 1 19 7 9 .
i9T9 DEC 28 A!I ii~ I7
' fIL`E~01?~MOpR~ENCOit0El0
Notary Public St t ~ ' sTT cP01TRA5~
a e of F rida at La - ltc
My Commission Expires: _ _ = - ~
.
This instrument wras prepared by s ~ L' ~ ~ .
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St. Luue Co.r~ir, k.;,~~.n._t.at~~n 3~d~.
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