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319460
. STATE OF FIARIDA
COUNTY OF ST. S.UCIE
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NOTICE is hereby qiven that pursuant to the provi3ions of
CY~apter 65-2181, Laws of Florida, Acts of 1965, the Board o~ County
Conmissioners of S t. Lucie County, Florida, claims a lien in the
1 amount of __~„lo Thousand Nine Hundred Eight and 56/100
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t$ 2908.56 ) Dollars against any real or personal •
property or
interest therein presently held or after ace~uired by
. (Name of
. _ uarry and lbrothy Gordon of 607 N. 19th St., Ft. Pierce, Fla.
Indigent or Recipient) cAaares~
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for money directly spent by St. Lucie County for the care, hospital-
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-ization, sustenance or maintenance of Theophilus Gordon
. ' .
minor son of•said Harry and Ddrothy Gordon
(Relatiqnship~
zs follows: . _ ,
Hospital: Fort Pierce Memorial
Date Admitted: $~8~74 8/24/74 7/20/74
•Date Discharged 8~19/74 9/17/74 , , 7/26/74
Number of Days: ~41 at $72.16 per day = ~ 2958.56
Less Credits 50_00 _
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; ~ Amount of I.ien ~ 2908.56 -
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~ Dated at Fort Pierce, Florida, this ,x i~ day of ,
~
E 75 (This Amended Notice of Lien supersedes Notice of Lien dated
f 19 • November 25, 1974 and recorded in OR Book 233, page 2998)
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~ S~:OR~ to ana subscribed before me ,
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3 this a1 day of L~~.a. ,~.9~. flLEii k~i~; ~ECu:~o~o ~
~ ST.Lti~~E ~~uMlr FIA. t~,/~
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4 tfi~ C~:a~ission Expires: oz~ 7~ '!G.' - -
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THIS iNSTP.UMENT l'VA4 PREPARED 9Y
~ RALPH B. WILSJN. ST. LUGIE G~UNTY '''n~,,;,,,,+, -
~ COIlRTHOUSE. FT. PItRC[, FLOfi1DA ` ~fl~245 ~
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