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AMEI~DED
NOTICE OF LIEN 2OS~ ?
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STATE OF FLORIDA ~
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COL'~ITY OF ST. LUCIE - 1
rOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws o~ Florida, Acts of 1965, the Board of
County Commissioners of St, Lucie County, Florida, claims a lien
,
in the amount of Six Hundred ~aenty-Four and 58/100
624.58 ) Dollars against any real or personal property or
interest therein presently held or aEter acquired by
(Name of
Howard Butler of 1211 Avenue L, Ft. Pierce, Florida
inaigent or recipient) (Address)
for money directly spent by St. Lucie County for the care, hospi-
talization, sustenance or maintenance of said indigent b"r reeip-
ient of welfare assistance, as follows: ~
F~~Ep ~t~p RECORDEO
St.111~~E ~QUNTY flA. C :
Hospital : Fort Pierce Memorial IIOCER ~F3~'~R~S
RECORD ~ERIFIEO CO~
Date Admitted: 12/5/70 ~M~1,
10 Ol
Date Discharged: 12/24/70
Number of Days: 19 at $53.07 per Day 1008.33
, Less Credits 383.75
Amount of Lien $ 624.58
DATED at Fort Pierce, Flori~a, this 21st day of April
lg~l (This Amended Notice of Lien supersedes Notice of Lien dated
February 23, 1971 and recor d in OR Bdok 190, Page 1180).
(Signature) ~
jF
3
County Attorney
(Title)
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SWOR~ to a:~d subscribed before me
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---t~~~~~day of , 19~.
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~~ot~~y Public State f Florida t Large ~
:::3- ApTAR? MlBLIC, STIIIE OF RQR!DA IIT LARGE ,
~ " MY COM~
1lS~tOV EXF:!2£S J11N. 21. 197~ '
;~t~ :~2!:~:~.Cc~s:~~;:ission Expires : ~p~ ~HRU fR~ w. ~i~.,~u~.;:at ;
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TM{~f~~~Er~T WA4 PRFPAREO 8Y
RALPh1 l~1N~L-57'd- ST• ~~:Glc COUNTY
GOURTHOU6E. F r. N~ERGE:. FLORIOI? ;
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