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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 sE. Lucie County, Florida, claims a lien in the
amount of Four Hundred Sixteen and 10/-100's
416.10 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Jack Howard of Rt 3, Box 470N. Ft. Pierce. FL
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Melissa Howard ,
daughter of said Jack Howard
(Relationship)
as follows:
Hospital: Lawnwood Medical Center
Date Admitted: 12/4/79
12/6/79
Date Discharged :
I' ~ Number of Days: 2 at $ 208.05 Per day = $ 416.10
n-one
Less Credits
416.10
Amount of Lien $
Dated at Fort Pierce, Florida, this day of -March ,
19~. ~
(Sign ture
COUNTY ORNEY
(Tit e~
4'8415
SWORN to and subscribed before me
this day of ,19 s.Q• ~ ~ _6 ~ ~ 4~
r~ ~ %i; TRAS
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` ~~q3~t, _ State o Florida at Large ~ ~
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