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HomeMy WebLinkAbout0141 ~ ~ • AMENDED 319459 NOTICE OF LIEN S~ATE OF FLORIDA ~ COV.~ITY OF ST. LUCIE NOTICE 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 One Hundred Forty Nine and 20/100 149.20 ) Dollars against any real or personal property or interest therein presently held or after acquired by ~ ~ (Name of Herbert Holmes of 608 N. lOth 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- ient of welfare assistance, as follows: Hospital: Fort Pierce Memorial Date Admitted: 3/14/75 Date Discharged: 4/2/75 y Number of Days: 19 ' at $91.43 per Day 1737.17 Less Credits 1587.97 Amount of Li~n $ 149.20 f _ ~ DATED at Fort Pierce, Florida, this ~day of n~}~er , j (This Amended Notice of Lien supersedes Notice of Lien dated ~ 19 75 May 28, 1975 and recorded in OR Book 240, age 61) ~ ~ ~ . ~ t (Signature) 4 . € County Attorney ; ~ ~ (Title) ; t ~ 319459 S:•:OR_v to and subscribed before me ' fILEO Ahi~ i?ECOROE~ ` ST. WCIE C~JMTY FLA. ! tn~'sol~ da1 of , 19~. ~ ~G~~ ^ *i:iiRAS ' ~ • Cl.F4k C i ~UtT CUURT ~ ; . ~ pcrrRi• ;rp E ' ,~<<~;~~~u~~,,,, ' h ; totury Public State of Florida t Lar-~',~• Yi~t ~Z 9 20 AH ~T~j ~ t ~ 4 • ~ ~ ;`ti.:' ~~QT,,,- y' . K .:y Ca:t.,.issivn Expires- - - r ~ rir.~-i~~ .y~r . ~ • ~ ~~~''~+~i~' i k , ; 'n+~a INSTRUMENT 4VAS PREPARED ~ ~ ~ . ` ~ ~~~N @!. WILSON. ST. L.UGE C~bli~fi~ t t•, . ~~~~~~r ET. PIEEi~,. S~ jbt~ • ~ ~ aoo~245 ~ 1~ t ; ~ ~ _ ~ - - - - - _ 4 ~ ~ ~ ~r