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NOTICE OF LIEN
STATE OF FLORIDA
COUNTY OF ST. LUCIE
i
5095 39 ~
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 Seven Hundred & Forty~Four Dollars & Si.xty~ Cents
($ 774.60 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Beulah Decara. of 601 Ave. 8, Apt. 611, Ft. Pierce, F1. 334
(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: I,awnwood Medical Center
Date Admitted: 11/4/80
Date Discharged: 11/8/80
Number. of Days: 4 at $ 22g_65 per day = $ 744.60
Less Credits
Amount of Lien
Dated at Fort Pierce, Florida, this ~~
Decer±.her 1980
$.WORN..to, and subscribed before me
~.~~~~~bA `'• day of ,~ t~-t/ 1980
~_: .. _
,~~,.. - .• .1~blic State of on at Lar e
' Vision Expires : / - 1~~ -~~-
This instrumen7 wGS ,:~ ,,;~;cd by
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! ort Y~ctCe, .:or.::a
0
$ 7~4~~~
day of
1980 ~C -8 AM II~ OS
FILEO ~1C RECQNOEO
STRO ER PWTRAS~~
CLERK CIRCUIT C T~_
RftQRO YFRiFlftl _~.
509539
X344 P,~1218
COUNTY ATTORNEY
(Title)