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' ~'?!~iEtillED
?~OTICE OF LIE1~
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STATE OF FLORIDA
COWTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter G5-2181, Laws of Florida, Acts of 1965, the Board of
County Co~.missioners of St. Lucie County, Florida, claims a lien
in the amount of Three Hundred Sixty-three and 10/100----
363.10 ) Dollars against any real or personal property or
interest therein presently heid or after acquired by
(Name of
Willie Simmons of 709 N. 27th Street, Ft. Pierce, Fla.
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: ~~~ECOliNri~~ ~
Rc~ tFA~ic
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Hospital- Fort Pierce Memorial
D Admitted: 5/9/71 ~11 216Ph'TI
ate
Date Discharged:5/19/71 2~;a~~$
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~ 10 at $56.81 568.10
~ Number of Days: per Day
E Less Credits 205.00
Amount of Lien $ 363.10
DATED at Fort Pierce, Florida, this 18th ~ay of August ~
72 (This Amended Notice of Lien supersedes Notice of Lien
19 dated December 2, 1971 an recorded in O Book 197 at
Page 1990) . •
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(Signature)
County Attorney
, (Title)
S:ti'Oit:'~ to a:,ci s~;i~scribed before me "
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tnis 18th oi August , Zc~ 72 :
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