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I
413 -
NOTICE OF LIEN F
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 -Fight Hundred Sixty..three and 73/100rs
- - 1
86~.Z~ ) Dollars against any real or personal property
or interest therein presently-held or after acquired by
Ray Henry of S07 Means Court, 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: 12/5/79
12/10/79
Date Discharged:
actual bill .
Number .of Days:_~, at $ per day = $ 86~.7~
' Less Credits none
Amount of Lien 863.73
- Dated at Fort Pierce, Florida, this day of
March
198 a
(Signatur )
COUNTY ATTORNEY
- (Title)
i
t
SWORN to and subscribed before me 4 ivxi.a~
this Jr"~ day of_ l//C k.,:C~,/ 1980
- ~ MAR -6 AM ~ 4S ,
No~a7`r ' c State of F rids at Large ~ ~Aa~
St. Lucia Go,:ot~:?rj~ti~s6+si a,. ~ },r. 80~ t.11R~rV ~~E~,~~r11~
fort Piercb, tJori;la