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NOTICE OF LIEN 483
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 Nine Hundred Three and 75/I00's .
903.75 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Willie Scriven Of __1211 Ave. D, Ft. Pierce, FL
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
. y
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: LaWn~rood Medical Centel
Date Admitted• 2/x/80
Date Discharged: ~,Lqf~_
actual bill
Number of Days: 5 at $ per day = $ 903.75 .
Less Credits none
Amount of Lien $ ~ 903.75
Dated at Fort Pierce, Florida, this G ~ day of
, 19g o
19801lPR 17 P!~ 2~ 44
fItEO AND REC~R~O~ (Signatu e)
S .IUCtE AUNTY. ` _
P~~TRAS COUNT ATTORNEY
6LERK CIRCIlfT T .
REC611R VERIFI~O (Title) .
483388
SWORN to and subscribed before me
this ~ day of G~~ 1980 ,
~ .
Notary Public State of F rida t Larg
My Commission Expires : ~d .1 -
This instrument was prepared by
tort i'.erce, r;cndo 8(IOK~~ PAGE~,~2