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AI~NDED
NOTZCE OF LIEN ~~~58
STl`'i'c O'r I'LORI~A
COU\T1' OF ST. LUCYE
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County ~
Co::~missioners of St. Lucie County, Florida, claims a lien in the
amount o~ Seventy-two and 16/100
72.16 ) Dollars against any real or-personal property or
interest therein presently held or after acquired by
(Name of
~~~y~, ~~a r?~,,~~ j~ ~~~~;i ~i ~a~~ 25th 5~., Ft. Pierce, Florida
Inuigent or Recipient) (Address) .
for rnor.ey directly spent by St. Lucie County for the care, hospital-
.
izatio:~, sustenance or maintenance of Baby Girl Tullis
minor daughter of said Larry and Evelyn Tullis
(Relatiqnship) ~
as =ollcws:
Hospital: Fort Pierce Memorial
Date Admitted- 3~28~~4 ,
~ Date Discharged: ~ 3/29/74
~ 1 at 72.16 72.16 ~
f :3umber of Days: $ per day = $
.
~
t
s Less Credits None
Amount of Lien $ 72•16
Dated at _Fort Pierce, Florida, this /Sf day of August ~
(This Amended Notice of Lien supersedes Notice of Lien dated
19 74 . July 30, 1974 and recorded in OR Book 230, page 843).
.
(S gnature) . .
~ County Attorney
~
(Title) .
~ FILEO AM~ R'cCUROEG
_ ST. LUCtE ~~L'NTY.FIA.
z"' ROGEF P'vl"RAS
~ S:S'O~ti to and subscribed before me C~E~K C~:.:ti~ ~OURT
ccr,~•t~ yr= ; 4r~
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~ ~:Zis ~_day of ~_ctr .~9~• ~tW Z 59 ~i~
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~ UMENT 1NA4 PREPARED OY •.•~a••~~
T}Iid INSfR ~ ~
RAI.PH B. W~LSON. ST. LUCiE COUNTY ~ R
~ ` COURTHOU6E. FT. PIERGE. ELORIDA ~rVV ,
800K PAGi
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