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IIOCER PO~TRA6
NOTICE OF LIEN ~~ERK CIACtI~t COUKt
~2:i1U8'7 RECORO VEp~FtEO
23 10 ~M'T i
S:'AT~ OF FLORIDA ~.~US~
COUVTY OF ST. LUCIE_
NOTICE is hereby given that pursuaat 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 Three Hundred Fifty-four and 48/100
354.48 ) Dollars against any real or_personal property or.
interest therein presently held or after acquired by _
(Name of
Roxie Smith of ~~08 N. 9th St „ Ft, pierce, Fla.
Indigent or Recipient) ~ (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, susten~nce or maintenance of said Indigent or Re~ipient
of we2fare assistance, as follows:
Hospital• Fort Pierce Memorial
Date Admitted: 1/5/71 _
Date Discharged: 1/13/71
Number of Days: g at $ 56.81 per day= ; 454.48
~ Less credits 100.00
~
~ Amount of Lien $ 354.48
DATED at Fort Pierce, Florida, this ~~N~ day of ~
June , 19 71. (This amended Notice of Lien supersedes
~ Notice of Lien dated March 25, 1971 and recorded in OR Book 191, page 614).
.
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•
. ~ ' ature)
County Attorney
(Title)
, ,
S;n~ORN to and subscribed before me
this p7~_day of , 19 ~ ~ .j;
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Notary Public State of Flori at Large _ ~
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My CoT.mission Expires: - • _
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TMIS /NS'TRUMf~sT WAs PRCPAR[D OY ~ - '
RALPH B. WILSON. ST. LUClE GOUNTY ~O~
COIJRTHOUbE. FT, pIERCE, FLORIDA