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AMENDED ~GfF ~o~tR~ i
NOTICE OF LIEN ~~'~f~ ~,Gi~
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STATE OF FLOr~IDA
2851'71
COUI~TY OF ST. LUCIE
rOTICE is hereby given that pursuant 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 Four Hundred Thirty and 76/100 .
430.i6 ~~llars against any real or persona~ property or
interest therein presently held or after acquired by
(Name of
Cassie Solomon - of 1717 Ave L, Fort Pierce, Florida
indigent or recipient) (Address)
foY 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: .
Hospital: Fort Pierce Memorial
Date Admitted: 2/15/74_ - ~ ~
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Date Discharged: 2~24/74
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` 9 at $60.64 er Da $ 545.76
4 ~Iumber of Days: P Y=
~ Less Credits _ 115.00
~ Amount of Lien $ 430.76
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~ATED at Fort Pierce, Florida, this '?~_day of June
- (This Amended Notice of Lien supersedes Notice of Lien dated
19 74 June 3, 1974 and recorded in OR Book 228 at page 325)
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(Signature) ,
Countv Attornev
(Ti tle)
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~ Sr:OZ_~ to ana subscribed before me
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THIS INSTRUMENT WAS PRF?AREU c'r 'Y~ f1~ ` j
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RAIPH B. WILSON. ST. LUClE CCJh ~J,•.~ i.•.
CmURTHOUSE. FT. PIERCE, FLORIDA ~
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