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' ST. R~L1Eti~?~ TRASLA. 3a~U~l~! 33U~f; ;
C~EF~K CtRC1~= COUNt
~ QFC~R] YE~~FIED
AMENDED
~3 9 03 AM ~~6 NOTICE OF LIEN ~
STATL OF FLORIDA
.
COUNTY OF ST. LUCIE
NOTICE is hereby given t2:at 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 Sixteen Hundred Thirty seven and 17/100
1637.17 ~~llars against any real or personal property~or ~
~
interest therein presently held or after acquired by - ~
(Name of ~
Ruby Lloyd ' of 424-B N 11 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: 4/25/75
Date Discharged: 5/14/75
Number of Days: 19 at~91:43 per Day 17~7_17
-
j Less Credits 100.00
j Amount of Lien $z~637.17
E . ~
~ DATED at Fort Pierce, Flvrida, this day of ~Aarrh~
~ (This Amended Notice of Lien supersedes Notice of
~ lg 76 Lien dated February 16, 1976 d~recorded in OR
~ Book 248 at page 2378) .
.
- (Signature) .
(Ti tl e)
~ t
a SWORN ~o and subscribed before me ' ~
i
~
" this~day of l~L~~ , 19 • ~
~ ?
~ ~ ~ -
~ Notary blic State f Flori at L~~g - #
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My Commission Expires: ~ - 7~%• J ~ ~ • :
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