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NOTICE OF LIEN
STATE OF FLORIDA
COLJ~TY OF ST. LUCIE ~
, NOTICE is hcreby given that pursuant to the provisions of
Chapter 65-21F31, Laws of Florida, Acts of 1965, the Board of
County Commissioners of St. Lucie County, r^lorida, claims a lien ;
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in the amount of Six Hundred Seven and 15/100
($607.15 ) Dollars against any real or personal property or '
interest therein presently held or after acquired by
(Name of
Roxie Smith of 708 N. 9th St., Fort Pierce, FL.
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-
i1~l~jCiE COUMtr~~
'ient of welfare assistance, as follows:
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Hospi t~l : Fort Pierce Memorial qECORD vE~~~~EO
s 3 is PK'1Z r;
Date Admitted: 12~28~~1 ~`6
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Date Discharged: 1/12/72
~lucul~cr oC D.zy:;: 15 zt $56.81 ner Day = $ 852.15
~ Less Credits 245.00
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F Amount of Lien $ 607.15
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DATED at Fort Pierce, Florida, this 26th day of July ,
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19 72 ~This Amended Notice of Lien supersedes Notice of Lien ~
dated April 28, 1972 and ecorded in OR Book 201, page
262 5) . •
(Signature) ;
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County Attorney _
, (Title)
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~ S'.•:OR\ to und sucscribed before me ~
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tzi s 26thda1 of Jul 72
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i~ot~ry I'ublic State o£ Florida~ a Large - d~~ ~ i=- _
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1-21-74 ~
N~f Co..~:~is ;ion ~:~pires: "Sj~. ~ _
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~~NyOTA/~RT Pl1u: iC. S7ATE Qf FLOr't+1 JIT 14~1E . -
M¦ {I~r111:1~ iJ~:).~1 ~ ~^.~'~J Zis 1974 ~
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eat:c~ t?~wu F:~a w. ~::~..~>•~~;sr °
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~ THts INSTRUMENT \9AS rREtA~LD SY
~ ~~R~~~ • RALPH B• W~~~N. ST. WCIc COUNTY ~
COURTHOUSE. FT. PIERGE. FL~:••~A ~
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