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AMENDED • ?
NOTICE OF LIEN
. , 254099
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STATE OF FLORIDA ~
COUNTY OF ST. I.UCIS i '
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NOTICE is hereby given that pursuant to the provisions of
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~ Chapter 65-2181, Laws of FloYida, A~ts of 1965, the Board of
County Commissioners of St. Lucie County, Florida, claims a lien
in the amount of One Thousand One Hundred Two and 67/100 . `
1102.67~ ~llars aqainst any real or personal pr,operty or
interest therein_ presently held or after acquired by
(Name of s
E
Roscoe Sullivan of 1004 N. 14 St,~ Fort 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: , ?~~ED ay~ pECDRDEB '
St.~ucr_ couNtr~u~,
A0~3~F ~ ~liTR~S
Fort Pierce Memorial ~~E~'~ ~~iy+~~= CGU~t d~ ~
Hospital: R cr~~ v~~~Fr~n,;,,,-=
Date Admitted: ~ 6/10/72 ~At ~0 9 3q AH'~3
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Date Discharged: ~~11/72 ' ~~~9g
Number of Days: 31 at per Day a $ 1753.67
Less Credits 651.00
• Amount of Lien $ 1102.67
DATED at~Fort Pierce, Flor'da, this 8~~ ,day of Mav
i (This Amended Notice 'en sup sed tice of Lien
19`. dated January 11, 19 an re or i ook 209,page 280~)
i
; . ( ignature) -
i un Attorne
(Title) _
S`r10R.~T to and subscribed before me
thi s 8th day of ~Y , 19_. .
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:~otary ?ublic State of Fl ida at Large ~c~'=:~{ .
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::y Co:c,mi ssion Expire8 s January 21, 1974 _ ,:o~l ; o- •
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TNIa INf7RUM~NT WA4 PRFt'ARFO DY , .~~1~~'~ • A~~'
RA~PH B WILSON. ST L!~c=11-. c: :';N7V ~'f•FLC~•~~~~•``: ~
GOURTHOUSB. F7. PIERt,:C. FLOftfOA . , •
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