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NOTICE N OF LIEN ~ ~ ~ ~
M~y
STATE OF FLORIDA
COLT~TY OF ST. LUCIE
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 St. Lucie County, Florida, claims a lien
in the amount of Three Hundred Twenty nine and 41/100
,
329.41 j Dollars against a~y real or personal property or ,
interest therein presently~held or after acquired by
. - (Name of
Cecil Riley of 527 N. 12th St., Ft. Pierce, Florida
indigent or re~ipien t) (Address)
=or :noney directly spent by St. Lucie County for the care, hospi-
talization, sustenance or maintenance of said indigent or recip-
ient or ~~elfare assistance, as follows:
Hospital• Fort Pierce Memorial
Date Admitted: 9~27~~1
Date Discharged: lt7/8/71 -
vumber of Days: 11 at ~56.81 per Day 624.91
Less Credits 295.50
~ Amount of Lien $ 329.41
DATED at Fort Pierce, Florida, this lst day of ~Y ,
19 71 (This Amended Notice of Lien superseds Notice of Lien
• dated January 13, 1972 an ecorded in OR ook 198 at
pa9e 2328). ~ •
•
(Signature) -
. ,
~ Countv Attorney
(Title)
SWOR2v to and subscribed before me
- day of ~,C 19~~1
- ~ ~ ~ ~ a,
• I~o ' PEiblic State of Flor ' a at Large
~ , ~ ~ : ~r ~ ~ STATE OF R,pRipA AT LA1~E
P CoM~d:3ti>~~ ~;:wR~s JAN. 21 ~
n i~:3.sion Ex ires: m:~~z _ , 197
_ . :ytFlli:.~:..?
; ~ ~ a, : -
~ • ' si
' 7HIi INlTRUMENT KA3 Pf1EPARED dY
! R~1LPH B• W~~ON. ST. ~UCiE COUNTY
' COURTHOU6E. FT• 1'~ERCE. FLORIDA
~ ~ _ . - - ~