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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 65-2161, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Three Thousand Five Hundred Thirty.-six and 85/100's
($3,536.85 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Robert Moore pf 609 No. 19th St., 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: LaWnvood Medical Center
Date Admitted: 3/30/80
Date Discharged: '/27/80
Number of Days: 17 at $ 208.05 per day = $3,536.85
Less Credits none
Amount of Lien $ x_536.85
I
Dated at Fort Pierce, Florida, this day of
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~ „C._ 198 0 ~
f
(Signatu e)
COUNTY ATTORNEY ~
~ (Title)
4b~546
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SWORN to and subscribed before me p~
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TTRAS
this u~-~ day of 19SO CLERK
RfClRf ?'EI~Ift[O.,
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Notary Public State of Flor da at ~Larger~`' ,i
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