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NOTICE OF LIEN 5U2345 ,
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
' j
amount of Sixteen hundred and Si~cty~-four Dollars & Forty Cents
1,664.40 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Sandra Haskins of _ 306 DeCordre St.; Ft. Pierce, F1. 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 }
i
of welfare assistance, as follows:
Hospital: Laknaood Medical Center
Date Admitted: 12/23/79
Date Discharged: 12/31/79
Number of Days: 8 at $ 208,05 per day = $ 1,664.40
- Less Credits None
• Amount of Lien $ 1,664.40
Dated at Fort Pierce, Florida, this ~ day of
~C C,~~ 198 0
Signature
COUNTY ATTORNEY
(Title)
SG~b,TtF''~d~4;yd subscribed before me {~`t~ gyp[ FtcGrc•i
tom: ~ Si.tUClf CGUYi r.fia- .
pUC,ER POf r f t 5
Xis ^ day of ~ C~i~-~i,c-,~t-' 1930 nfRKCtRCUIi CC.U'~j
. w 502345
•NO 1,~IC.y~•~Public State of F1 ida at Large
My Commission Expires : /
This ins rum-:^.2 ~•:as p-~n^r•~d 6y
, x`340 P~ 777
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