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~~416
NOTICE OF LIEN
STAT$ OF FLORIDA
COUNTY OF ST. LUCIB
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 +
2,110.25 ) Dollars against any real or rsonal property or
interest therein presently held or after acquired by NNam o
Eliza Miller of . 308 No . 20th St . , (Ft . ePierce, FL
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Gregory Gains
son Eliza Miller
of.said
(Relationship)
as follows: '
Hospitals Lawnvood Medical Center
Date Admitted: 9~28~79
Date Discharged: l0/9/~9
~ actual bill
Number of Days: 11 at $ per day = $ 2,110.25
r
` Less Credits ~ none
2,110.25
Amount of Lien $
Dated at Fort Pierce, Florida, this day of March
19 so
(Sig ature
COON AT ORNEX
(Ti~~e)
- 4
SWORN t_o and subscribed before me ~ 46
this ~ ~ day of l~f.c~~ .1980 ~ ~ _S ~ ~ 45
~.t
,..~..:rtar~v P~~ic S tate of F rids at Large ~
- ;~p~/~q~is'.~ Expires s / •
J',-.t ' ~
51. L.~d Z.L~.i:LYi
~(~r7ii :Nt. diiOrl 600 c~
Fat Pizrce, Fbrida