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11N:E\DED ~t3`~8s
hOTICE OF LIEN
STATE OF FLORIDA
COIJ~TY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter,o5-2181, Laws of Florida, Acts of 1965, the Board of
County Commissioners of St. Lucie~County, Florida, claims a lien
in the amount of Four Hundred Sixty-six and 69/100
466.69 ) Dollars against any real or personal property or
interest thercin presently he~d or after acquired by
~ lName of ~
Roshell Washington oi 607 N. 14th St., 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-
fi~EO ~Mn ~fcoaoce
ient of :aelfare assistance, as follows: ST.IUCIECOUMTtrFlA.
R06E~ POITRAS
CLERK C~3~UIT COURT
Fiospi tal - Fort Pierce Memorial ~ RECORD vER+FiED
Auc 11 2 i~ PM'T2
Date Admitted: 2~9~~2
Date Discharged:2~26/72 2a;Jr~6
Nunbe r o f ~ay s: 1'1 a t $ 56 , 57 pe r Day = $ 961. 69
f
~ Less Credits 495.00
~ Anlount of Lien $ 466.69
DATED at Fort Pierce, Florida, this 18th day of August ~
19 72 ~This Amended Notice of Lien supersedes Notice of Lien
dated July 6, 1972 and recorded in OR Book 204 at Page 41).
.
(Signature)
. County Attorney
, (Title)
~ S:•:OR~: to ~nd subscric~ed before r~,e
~ - .
~ this 18th uaf oi August , 19 72 .
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'.•Jotary Public State of Flor a at Large -
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t~y Co:nrnis~ion Ex~ires 1-21-74 - ~ -
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THIS . - ' _ _ : '.LR~]iY . ,
RALPH E3. _ F~.OR?DA r
GOURTNOUS~. F(. r?~.....-. -
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800fI ~ PA6f
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