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: STATE OF FLORIDA
s Y DEP~RT~tENT OF HE~1.TH ,~ND REH~BILITATIVE SERVICES
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j,,r ~~._____D~UC,~.~ riYON NOTrGE~ of LI ~N o9-45121-02
S, L~~` ~~t f Clicnt Vumber
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_.~(`1~~~ nf C `~3::T~ 9-1058
~ 5 " T~ Lien Number
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Pursuant to the provisions of Section 402.33(a) (a), Florida Statutes, notice is hereby given that there have been ~ssessed,
~ ursu~nt to provisions of s~id law, against Lester Jr. and Elizabeth Garvood
1205 Apple Street
Ft. Pierce, Florida 34g50
liability for payment of fees to the Flonda Department of Health and Rehabilitative Services, pursuant to thC provisions of sai~l
;aw, the sum of S 312.00 unpaid fees, which after demand for payment thenof remain unpaid, and that by virtue of the
.?bove mentioned iaw the amount of said fee, constitutes a lien in favor of State of Florida DepartmCnt of Health and Rehabilitative
S~rvices upon any title or interest, whether le~al or equitable, in any rea! property, chattels reat, or penonal property of said ~lient
~~r responsible psrty. S@Ctlt~[l 402.33( 8)( b) , Florida Statutes.
Periods for which fees have been assessed, and the amounts thereof, ue as fotlows:
Lester Garvood III client
~IonthjYear Fee Asxssed y[onth/Ye;~r Fee Asxssed
; Juvenile Division '90 JM! 24 P1 ~C4
loziosz 4h
Case #89-1369 FILE G~~.!'~~ r~~ ~
~ ~OUGt "S C!~XON
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: Septeober 1989 300.00
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~ Plus Accnied interest
~ Recordin Fees 12.00
~ Total S ~
~ 312.00
?nis 19t4~ay ot Januar~ , ~.D, t9 90 . STA'[E OF FIORID~? D~EPA~l~ OF [~AL.Z1~i
A[~D S~3tVI~
This instrua!ent prepare0 by:
SFterri Capps, P~aaalegal Speriali-st " ~
; ~epartmsnt ot Health b Rehabilitativa Services Authorizsd Otticiat
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~ iti Georgia Aver?us -
~ +~est Pal~ Beach. Florida 33401-524~ ~
a07/837-5087 - SunCow 2S2-S087 tqp~~ic - S~ffl~'~+~1K. Ca
' SM~AR~CAwP3
Sworn to and Subscribed bsfore ms this ~~ay of ~~A.~ 1 A.D.. 19~. t~~~~~gl~otFlo~lda
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Has Fo.n~ sw. M.. u ~oaw+.~• a.wo~..da~~o~u)
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