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NOTICE OF LIEN 4•~8~0 '
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 One Hundred Forty-eight and no/100's
2,148.00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by -
Margie Haire of 519 No. 11th St.,.Ft. Pierce, FL
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
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ization, sustenance or .maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Lawnwood Medical Center
Date Admitted: 10/14/78
Date Discharged: 11/7/78
Number of Days: 12 at 79.00 per day = $ 2.148.00
Less Credits none
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~ Amount of Lien $ 2,148.00
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F Dated at Fort Pierce, Florida, this day of
- (Signat e) ~
COU ATTORNEY
(Title)
~ SWORN to and subscribed before me
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this .17 ~ day of 19 79 .
1919 OEC 28 1111 11~ I7
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RCN ~ ~ A OItE TyyItOfElO~
Notary Public State o lori a at La ge ~r~•''• s TIlAS
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My Commission Expires : / ~ / - ~~2 = _ _ . . , • ~~pV~R~tEO_
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This instrument was prepared by ~ ' ~ ' ~ , - 1
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' ?.EVfTI J. A::F.1M~~
St. Lucie Co„nty, la,,u..n~,b ation 31j 7. ~ n~ AA~1 e~~ ~ n