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NOTICE OF LIEN
. 5U2326~
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 Twenty One Hundred and Fifty Three Dollars & Fifty Cents
2,153.50' ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Henry Simmons of x_Joe Levis, 434 N. 9th St,, Ft Pierce,Fl.
(Indigent or Recipient) (Address)
foi money directly spent by St. Lucie County for the care, hospital- 1
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as`follows:
Hospital: Martin Memorial Hospital
Date Admitted: ~i/~/7q
Date Discharged: li/12/79 -
Number of Days: 10 at $ 215.35 per day = $ 2,153.5a
Less Credits None
- Amount of Lien $ ~,i.~.,.,5(l
Dated at Fort Pierce, Florida, this ~ day of
C~ 19so J ~ -
(Signature
COUNTY ATTORNEY
(Title)
,.,....~„f, ~t- ~g
aw~~..xb/j,~~ 19~D Oft -7
subscribed before me
~ ~ '..'v ~ t•IL:C the CUK:~' U r
St.ilitif CCLN'Y.ftA t
- . ~ " day df ~ f~id-~,L-J`-' 1980 RC~i~R POtTRAS
~ _ 50232
`t' t ~ ~ii2iiic State of lori a at Lar e s r
My Commission Expires:
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