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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
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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
Beatrice Worthy of _.909 Ave. D Apt~_~ Ft. Pierce; FI` ~
(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: La~rnwood Medical Center
Date Admitted: 2/16/80
Date Discharged: ~ ~/Rn
r
Number of Days: 17 at $ 208.05 per day = $ 3,536,85
Less .Credits none
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Amount of Lien $3,536.85 ,
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Dated at Fort Pierce, Florida, this day of
~ 198 0 .
r
(Signature)
_ COUNTY ATTORNEY
(Title) 1
1980 Jt:Y -4 AN ~ 31
~ SWURN to and subscribed before me
~ FIIEi I?K~ IrEC t
ST.~UCIE COlN1TY.FtA.
this ;
J~ day of ~ ~~c~tw. ~t/ 19s o aE~
C
R~C~~tT
RfCORR YERIFtEfl.___~~
f
~ u -~t
Notary Public State of Florid at Large
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My Commission Expires: /-'°Z~ = .
This IflTtrurtt.'Ri W(.s rfepared by • ~ f ~ .
st. Lucie CGUnty, AJm,~,,a.nt~a? .;~j „ , ~ ..d . r
Feri Pierce, r brida y 11R