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NOTICE OF LIEN
STATE OF FLORIDA
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
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amount of Three Thousa__d Five Hundre.. ,hirty-six and 85/100 s
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3,536.85 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
David Bullock of 1611 Ave. D, 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: Laitntaood ;Medical Center
Date Admitted: 10/24/79
11/10/79
Date Discharged:
Number of Days: 17 at $208.05 per day = $3,536.85
Less Credits none
Amount of Lien . $ 3 i 5 ~ 6.8 5
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Dated at Fort Pierce, Florida, this day of !
March
19s o ~
Signatu ) -
COUNT TTORNEY
(Title)
SWORN to and subscribed before me 4~~,7
this .5~ day of ,~~k.tc~ 1980 .
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~lic State of F orida at Large
T;~•~ , - poi ~s i~tiri Expires : / - a- / - d vEit~~v
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