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~ 235011
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2~0`i'ICE Or LIE`~
STATE OF FLORIDA
COiJNTY OF ST. LliCIE
`OTICE is hereby given that pursuanc 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 Ninety=five and 99/100
395.99) Dollars against any real or pcrsonal property or
interest therein presently held or after acquired by
(Name of
Willie Mack of 2002 Avenue D, Fort Piercet Florida
indigent or recipient) (Address)
for mo~icy ui r<~ctly ::p~nt by St. Lucic Count:y £or the carc, hospi-
taliz:~tion, sustenance or maintenance of said indigent or re~s~11
ient of wcl fare assistance, as follows : F1~EO AMD RECOR~ED
:T. LUCIE COUNTY ~A.
Fort Pierce Memorial ROCER POtTRAS
~ Fiospi tal : ~ - RECORO v[R~iEO COU~_
Da te Admi tted : 2~091~ 2 9 3 39 PN ~7Z0~~~
Date Discharged: 2~16~~2
j Number oi Days: ~ az $56.57 ner Day 395.99
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~ Less Credits none
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~ ~ Amount of Lien $ 395.99
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~ DATED at Fort Pi.erce, Florida, this 9th day of August
.
(This Amended Natice of Lien supersedes Notice of Lien
19 72 dated July 6, 1972 and recorded in OR Book 204 at page 43).
• •
. (Signature) ,
County Attorney
- (Title)
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~ St•:OFt:'~ to an~~i _.~;hscrire3 be~ore ~e
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this9th uay ot August , 19 72
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~ :~ctury Public State o~ I'lorid aC Large -~`{'~~~'r'
, ~ .
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~ ;fy Cor;.~ni ssion E::ni res : January 21, 1974 _ ~ ' - _
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