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NOTICE OF LIEN
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STATE OF FLORIDA I
COUNTY OF ST. LUCIE ~
NOTICE is hereby given that pursuant to the prow#$ions 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 Four Hundred Sixteen and 10/IOO~s
4z6~1o ) Dollars against any real or personal property ~ 4
or interest therein presently held or after acqu-fired by.
Dorothy Jordien of 1208 Nobles Terrace, 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 followsz
Hospital: LaWnwood Medical Center
Date Admitted: 12/11/79 ~
_
12/13/79
Date Discharged:
i
Number of Days: 2 .at $ 208.05 per day = $416.1q
Less Credits none
Amount of Lien 416.10
Dated at Fort Pierce, Florida, this ~ day of
March 1980
F
Signatu e)
COUNT TTOR_NE_Y__ -
(Title)
SWORN to and subscribed before me 4~~
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this ~ day of ~ ~~ti~J 1980 {
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o' taf 3dc State of Flo da at Large S1~i~C
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