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AMENDED
Naric$ oF L~~x `~~3~3n
~ STATE OF FLORIDA .
COUNTY OF ST. LUCIE
t10TICE 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
~
!
lA the alttOLlAt Of Thi rtv fnur Hundrprl Ni nat~ -alzht d11d 6~„~ 00 ~
. ~
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3498.63 ) Dollars against any real or personal property or ~
interest therein presently held or after acquired by ~
~ ~ ,
(Name of - ;
William R_ Hammnnrl Of
R_ t_ 5~ RnY ~Q3,-Ft Pierce, F]a..
indigent or recipient) (Address)
i
for money directly spent by ~t. Lucie County for the care, hospi-
talization, sustenance or maintenance of said indigent or recip-
FILEO ANi: REC RDE~
ient of welfare assistance, as follows: ^ St.~uClECOUM~t?F~A.
ROCER ~OIT~AS
CLERK CiRCUIT COWtT
Hospital :~nrt Pi erce Memori al RECOaO v~R:r1E~._,__ ;
Date Admitted: 9/23/75 Fce 1 ~ 40 P~ ~76
11 / 3/ 7 5 32f 330
Date Discharged: _ .
~ Number of Days: 41 at $91.43 per Day 3748.~3
~
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; Less Credits 250.00
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~ Amount of Lien $ 3498.63
~ ~
,
~ DATED at Fort Pierce, Florida, this j~day of ~~d ,
~ (This Amended Noti~ce of Lien supersedes Notice of Lien
19~_, dated December 11, 1975 and recorded in OR Book 246,page 1841) ~
i
~
~ " (Signature)
~ County Attorney
~ (Title) . .
~
~
~ SWORN to and subscribed before me • ~
~
~ this ~js~;.t~ day of i c_:-_, , 19~. .
~ • ~
~ . ,t t' / o`'~',\;.',~,`.'t,.:r ~ -
~ Notary Public State of Florida at, a e'~ ~
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