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AMENDED ~+~SO
NOTICE OF LIEN '
STATE OF FLORIDA
COUNTY 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 Seventy-three arid 14/100
73.14 Dollars against any real or personal property or
interest therein presently held or after acquired by
. (Name of
Agnes Bullard of 1734 School Ct., Ft. Pi~rce. Florida
indigent or recipient) (Address)
for money directly spent by St. Lucie County for the care, hospi-
talization, sustenance or maintenance of,said indigent or recip-
ient of welfare assistance, as follows: Ep~~~!lECOROE~
~ ~~yCtE F~Yt fU~
p Fort Pierce Memorial ~~.~~~:~U?T Oau1t~
Hos i tal : ?o~;R~s
IlECORD r[ ~ `f if D
Date Admitted: 2~16~~2 ~ 9 39 AM~'Z
i~r 31
Date Discharged: 2~18/72 F.ra~v~~
Number of Days:2 at $56.57 per Day 113.14
, Less Credits 40.00
Amount of Lien $ ~3.14 ~
DATED at Fort Pierce, Florida, this 30th day of ~Y
.
19 ?2 ~This Amended Notice of Lien supersedes Notice of Lien
dated May 1, 1972 and rec ded in OR Boo 201,page 2597)
. , ~
.
. (Signature)
County Attorney
(Title~
SWOR~~I to and subscribed before me '
•f~• ys••
this ~4 day of , 191~. . " / _ _
_
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~ . ~ i; . : ~ ;
Notary Public State of Florida at arge ;~~'•.t"
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M1l S OiY EXP
RES~
qN. ~T21.~I974 ' .,'~~`''!i
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My Commi ssion Expires : t,ya; W.,..,~~~j
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7fAS lNSTt!UM~T ~~+AS PREPARED ~
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1~ COtJRTHOUS~E. F7. PIERGE, FLORIDA
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