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NOTICE OF LIEN
50~
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 Thirty Four H•andred and Twenty..Nine Dollars & Seventy-Five Cents '
3,429.75 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Hazel Simpo of ],217 Ave. I`~ Ft~ ~ierce~ Fl. 33450
(Indigent or Recipient) (Address)
foi 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: Laxnkood Medical Center
Date Admitted:- 7/4/80
Date Discharged: 7/19/80 _ _
Number of Days: 15 at $ 228.65 per day = $ 3;429.75
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t
Less Credits None ~
i -
Amount of Lien $ 3,429.75
f
~ day of
Dated at Fort Pierce, Florida, this
' 198 0 ~
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4
(Signature)
COUNTY ATTORNEY
(Title)
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~7t- 8 subscribed before me ~~~N;KG
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.'t~1~S'~~ day of ~ ~~t a•-~~ , 1980 CIEPK~~ gCd1S CO~R~
iiii 3 ~ ~ _
Not~tr"y~ Public State of F orida at Large ~
My Commission Expires: ~
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Tiiis irslr~meet was rrtpar~d by
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