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Lawnwood Medical Center
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NOTICE OF ~,IEN
STATE OF FLORIDA
COUNTY OF ST. LUCIE
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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 S t. Lucie County, Florida, claims a lien in the
amount of Four Hundred &~ifty-Seven Dollars & Thirty Cents
~$ 457.30 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Rathy Pe~ry of Rt. #5, Box 550 Jenkins Rd., Ft. Pierc;
Indiaent or Recipient) (Addres~ ~1• 3345~;
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Perry Kimberly ,
Son of said Kathy Perry
(Relationshipj
as follaws:
Hospital:
Date Admitted: 11/9J80
Date Discharged: 11/11/80
Number of Days:~_ at $ 228,65 Per day = $ 457.30
Less Credits ~
Amount of Lien $ 457.30
Dated at Fort Pierce, Florida, this ~_ day of ~~l/ ,
19 81 .
~
(Sigr~~t~re)
COUN [~~ ATTORNEY
(Tit3e)
SWORN tQ and.subscribed before me
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