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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 Eight Hundred Thirty-two and 20/100's
832.20 ) Dollars against any .real or personal property
or interest therein presently held or after acquired by the estate of
Eula Mae Brice Of 805 1/2 N. 22nd 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
Date Admitted: 10/2/79
Date Discharged: 10/6/79
Number of Days: 4 at $ 208.05 per day = $ 832.20
' none
' Less Credits
s
Amount of Lien $ 832.20
Dated at Fort Pierce, Florida, this a 7 day of
19
7~.
ignatur
COUNTY ATTORNEY
(Title)
s
n
SWORN to and subscribed before me ~~~~9
this ~ 7 ~ day of ~ 19 ~ 9 .
~s79 occ 28 ~ ~i= ~ 7
. ~ ..<<_j, Fll~E~OANt)pRECTOitQ,E~ !
~ Notary Public State o Flor da at La • - ~R06ERC1'OITRA~
~ ~ - • 0 + ~ l:LERK CiRGNT Cwt I
~ y
My Commission Expires:_ ~a_ , - _ Rf'Ol1RiVERtFlFO~
_ .
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This instrument was prepared by ~ ~ l rv ~ v ' ~
LLV6~1 J. ADAMS ~l i
t i. t.UCiC ~.G_nty, A;ai1nU..auon l3~,J.