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NOTICE OF LIEN '
STATE OF FLORIDA
k`
COUNTY OF ST. LUCIE - i°
-
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 Hundred Eight and OS/100's
_ i
208.05 ~ '
) Dollars against any real. or personal property
or interest. therein presently held or after acquired by the estate of -
Mary Korce - Of 3421 Ridgehaven Road, Ft. Pierce, FL
. (Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
_
4
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows: -
Hospital: - Lawnwood Medical Center
Date Admitted: 11/22/79
.Date Discharged: 11/2~/'T9
Number of Days: 1 at $08.05 per day = $ 208.05
Less Credits none
208.0 5
Amount of Lien
Dated at Fort Pierce, Florida, this day of
March 19so
t
- ~ (Signatu e)
COUNTY ATTORi~IEY
(Title)
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F
SWORN to and subscribed before me ~ ~~4~
F
t
this day of ~4'iL~(.~ 1980 G-
~C
' ~j ~ ~ ~ 3f~;ic State o Florida at Large .
-?4Y~Coaninxsn Expires _ / ' ~a
_ ,
1'fik irnfnxineM was preoored by •
..~Y~i i 1. ~:Gr,.'AS '
Ss. l~cie tc.nir. f.,,~::..-ustrafiOrl 3:d~
fors Fierce, tiarida 600Ke~ nl~6E~~~$