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AMENDED
NOTICE OF LIEN
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STATE OF FLORIDA :
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COUNTY OF ST. LUCIS i
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NOTICE is hereby given that pursuant to the provisions~of
Chapter 65-2181, Laws of Florida, Arts of 1965,.the Board of
County Commissioners of St. Lucie County, Florida, claims a lien
in the dmount of Eiqht Hundred Five and 00/I00 -
so5.oo )~llars against any real or personal property or
interest therein presently held or after acquired by
(Name of -
Andrew Jackson, pf 408 B Dundus Court, 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: Lawni,rood MedicaZ Center
Date Admitted: 1/18/78
Date Discharged: 1/25/~s .
Amended Notice of Lien -10/25/78
l~t~~i$X~f$X~~~tl~YXXXXXXXXXXXi*3tXXXXXXXp1~X~ _ $ 855.00
~ ~ I.ess Credits 50, o0
Amount of Lien $ 805.00
DATED at Fort Pierce, Fl.orida, this 27 day of November ,
(This Amended Notice of Lien supersedes Notice o~ Lien dated 6/30/78
19 ~and recorded in OR Bk 289, pg 2856, Amended Notice of Lien dated
8/22/78 and recorded R Bk 292, g and Amended Notice of
Lfen dated 10/25/78 a d corded i R Bk 2 q 2063)
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~i! ~D araD RECOROEb`
ST. ~`•!~!r C:~UPITY. ~l.A.
SWORN to and subscribed before me .~";~~~t~ - ~
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` this `'~da o~ 1 ~ 4~•6131
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Notary blic State of Flori at Lazge •
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My Commission Expires: • ' •
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n,~ :~?.~,f wa: propeued br '
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LEYiiT J. ADAMS ~;1 r.,. -
$f, Lucie Co~,nty, Administrotan Bld~. n, ~4~•' ~
fort Pierce, fbrido 60 _ . ~
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