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AMENDED
NOTICE OF LIEN
STATE OF FLORIDA 2~~`5~
COWTY -0F ST. LUCIE
h0`PICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws o~ Florida, Acts of 1965, the Board of
County Conunissioners of St. Lucie County, Florida, claims a lien '
in the amount of Ten Hundred ~`ortv-six and 3.41100
~$1046.14 ) Dollars against any real or persanal property or
interest therein presently held or after acquired by _
(Name of
Sylvia Jones of 2801 Avenue S, Fort Pierce, Florida
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: n~~
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4LE![ C~qpT Q0~'t
ilospi tal : Fort PiercP ~fCWtO ilflHflE~ ~
Date Admitted: 2~9~~3 , ~ ~S g ~~:7~
Date Discharged: 2~28/~3 2~45"~
~tu:,iber of Days: 19 ' at $55.06 per Day = $ 1046.14
Less Credits None
Amount of Lien $ 1046.14
D!-.lLD at Fort Pierce, Florida, this 14~ day o~ November ,
(This Amended Notice of Lien supersedes Notice of Lien
' 19 73 dated October 15, 1973 and recorded i OR Book 219, page 2288).
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; (Signature)
! Countv Attorney,
` (Title)
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St~.G:._~ ~o and subscribed before me
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