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AMENDED
NOTICE OF LIEN
' 32~,32~~
' STATE OF FLORIDA .
COUNTY OF ST. LUCIS
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 i
in the amount of One Thousand Nine Hundred Forty-four and 32/100
1944.32
) Dollars against any real or personal property or
interest therein presently helc~ or after acquired by
(Name of 3 ±
Mark Harvick of1001 N. Federal Hwy., Ft. Pierce, Fla.
indigent or recipient) (Address) ~
for r.ioney 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: f~LEO A~G RECURDEO
ST LUCI_ C~tJNTY FI.A.
ROGE3 -'~:tTRAS :
Hospital: Fort Pierce M~orial RECORDVERtrEp CCURT ` ~
Date Admi tted : 9/ 19 / 7 5 F~EB Z ~ 40 PH ~'6
Date Discharged: ~ 0/13/75 32~32~
Number of Days: 24 at591.43 per Day =$~194.32
,
~ Less Credits 250.00
E .
~ 1944.32
~ Amount of Lien $
DATED at Fort Pierce, Florida, this z~p~day of 13. ,
(This Amended Notice of Lien supersedes Notice of Lien •
19~- dated December 11, 1975 an ecorded in Book 246,
t page~ 1840 ) ~ .
~ . ' -
~ (Signature)
~ County Attorney
~ (Title) .
~ •
~
~
~ SWQRN to and subscribed before me • ~
~
~ ~;t cl day of ~ 1--.~t , 19~. , .
~ this ~
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Notary Public State of Florida t La~'`',~ ,~F%~'
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