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1 'FILEO AND RECORDEO~ ~
, ST. ~UCIE COUNTY. FL"A: t ~
RFCORD VERIFIEO ~
~929:~~ '
STATE OF FLORIDA '10 MAY 5 PN ~:~IS ~
COUNTY OF ST. LL)CIE ~
Ft0(~Ei? f01TRAS ~ ~
ERK C1~,111~~~~1F~'~ ~
NOTICS is hereby given that pursuant to ~~he pr
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
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Comrnissioners of St. Lucie County, Florida, claims a lien in the ~
s
amount of ~ao ~Iundred Forty and 24/100 €
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($240.24 ) Dollars against any real or personal property ~
or interest therein resentl held or after ac ired b ~
P Y 4u Y
(Name of
Henry Ba.iley of 2510 Avenue L. Ft. Pierce, Florida
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: Fort Pierce Memorial
Date Admitted: 11/15/69 ;
Date Discharged: 11/22/69 f`
Number of Days 7 at $ 44.32 per day = $ 310.24
Less credits 70.00
~ Amount of Lien $ 240.24
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DATED at Fort Pierce, Florida, thic ~ day of -
~
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Mav , 1970. (This Amended Notice of Lien super~a•±~11~ ~
Notice of Lien dated February 4, 1970 and recorded in OR ' '
at Page 2066) ~
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(Title) ~
SWORN to and subscribed before me
this J~ ~ day of , 1970.
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Notary Public State of Florida at Lar
IIOf~Rr pueirc, sr~sz u~~t~r.~a~ ~i L~~:3E
MY CO~ib1lSS!OP~ c:~{F:E?~.S 1r,l. 2~, 197;~. -.~i~.:,~
My Commission Expires: ~QtiD:a i`;,'tU• ~=~su-Y!. J':: . .,,:~~;ttr~iraf, _
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T?118 INSTRUMENT WAS PREPARED BY ~ S!J
RALPH B. WILSON. S7. LUCIE COUNTY = : ? _ `
GOURTHOUSE. FT. PIERCE. FLORIDA _ r~•~~$'' ~~i : t r, '
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