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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 St. Lucie County, Florida, claims a lien in the
amOUnt Of Six Hundred Trrentx..four and 15/~_OOa
624,15 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
(:athPri nP Fn„n ~ of
(Indigent or Recipient) (A dress)
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: LaWnwood Medical Center
Date Admitted- 4/23/80
4/26/80
Date Discharged:
Number of Days: 3 at $ 208.05 per day = $ 624.15
Less Credits none
$ 624 .15
Amount of Lien
Dated at Fort Pierce, Florida, this ~.td day of
€ 198 0 ~ ,
(Signatur )
COUNTY ATTORNEY
(Title) 48854
190 JUN -4 Ak ~k 31
SWORN to and subscribed before me ~ ~oANYI!Et~A
~ iic~tP~T111g A.
this day of 19$0 CMtgJ11C
11ENM 1tEll~!
Notary Public State of Flor a at a rgd~nnr, ' ~ ° • • '
My Commission Expires : / ~ .
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