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X8'72
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 Six Hundred Twenty-four and 15/100's
624.15
) Dollars against any real or personal property
or interest therein presently held or after acquired by
Mary Alice Woods pf 1506 N. 16th Crt., Apt. B, 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: 10/10/79
Date Discharged: 10/13/79
Number of Days: 3 at $ 208.05 per day = $ 624.15
Less Credits none
$ 624.15
{f' Amount of Lien
'
Dated at Fort Pierce, Flori this day of
a
19 7~.
ignat e)
COUNTY ATTORNEY
(Title)
. .
a
SWORN to and subscribed before me 4~~8`71~r
~ / /
this ~ day of ~~~-C~~ ~G,~l~~/ 19 79 .
1919 0EC 28 AMI 11~ i $
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Notary Public State of lorid at Lai eF~,. ST~~~~Qd~AS
My Commission Expires : • = .,•1.. ~ ~~VFRt
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