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. Or
4'm868
NOTICE OF LIEN •
STATE OF FLORIDA
COUNTY OF ST. LUCIE
NOTICE is hereb iven that ursuant to the
y g p 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 Thirty-one and 76/100's
3
2,031.76 `
) Dollars against any real or personal property i
or interest therein presently held or after acquired by
Flora Earley pf 1106 Chipola Rd, #2, 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• 10/30/79
Date Discharged: 11/10/79
actual bill
I'~ Number of Days: 11 at $ per day = $ 2 031.76 ~
i
Less Credits none
~I Amount of Lien $ 2,031.76
E
Dated at Fort Pierce, Florida, this 027 day of
` t`
(Signatu
COUNTY ATTORNEY
' (Title)
E
4'74868
SWORN to and subscribed before me
~ this ~ day of ~ 19 79 .
19T9 DEC 28 A!1 i 1 ~ I T
Notary Public State o Florida a~•'L~cg~~;'.~ `~I'OIT~S
My Commission Expires: /
.J - ~ 4}
This instrument wos prepared by ~
~ . , .
~EVIi7 J. ~iGktAS ~ ~ 8322 Pa~E2616
St. facie County, Adr~,~nistraf~on ~Li~. , _