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AMENDED z31?~69
NOTICE OF LIEN
STATE OF FLORIDA
COUNTY OF ST. LQCIE
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 ot ~elve Hundred Twelve and 49/100
1212.49 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
~ (Name of
Lug Taylor of 1208 Avenue K, Ft. Pierce, Florida
indigent or recipientj tAddress)
for money directly spent by St. Lucie County for the care, hospi-
talization, sustenance or maintenance of,said indigent or ~ecip- ~
fll~0 pMD KE~COR~E~
ient of welfare assistance, as follows: ft_~v~~E v~ud'rtrtU.
• ROG~n FQt1~E
CL£R~ C1~tC(!IT pyRT ~
Hospital : Fort Pierce Memorial RE[aRC~ ~~F:j~FiEO~
Date Admitted: 8~23~~2 w Sl ~ i+~
Date Discharged: 9~21/71 231'7f9
Number of Day s: 2g at $56-• 8~ per Day = $164'7 . 49
' Less Credits 435.00
• Amount of Lien $1212.49
DATED at Fort Pierce, Florida, this 19th day of June_ ,
(This Amended Notice of Lien supersedes Notice of Lien
19 72 dated January 11, 1972 an recorded i OR Book 198, page ~
~ 2141) .
L~~
(Signature)
I
County Attorney
(Title)
S`rIGRti to and subscribed before me
t:.i s 19th day af June , 19 -
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.3otary Public State of Florid at Large _ ~V~,..:.;,.- , '
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TFiT! TNS'ritUMENT WA! 1ft[PA11~0 ft?
RALPH B. WIL50*~. 5T. LUCt~ COUNTY
GOURTMOUSE. F7'. !'IERCi~ fL01R10A
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