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50953'7
NOTICE OF LIEN
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 Two Thousand &Fifty--Seven Dollars & Eighty-Five Cents
($ 2,057.85 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Eddie Goff of Rt. 3i Box 412, Ft. Pierce, 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:
Lawnwood Medical Center
Date Admitted: 5/11180
Date Discharged:
5/20/80
Number of Days: 9 at $ 22g~65 per day = $,1,~057_8S
Less Credits
Amount of Lien
f~
0
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Dated at Fort Pierce, Florida, this ~ day of
December 1980
Si~(,1~~+~tr.o,,and subscribed before me
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~Npp~s ~ ~ ~ ~c State of Flor da at Large
My '~Coinmission Expires: _
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S R06~ER POTRAS~~
CLERK CIitC1N? 1
SU953'7
X344 ~~E1216
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COUNTY ATTORNEY
(Title)