HomeMy WebLinkAbout2706 AMENDED 4~'~
rOTICE OF LIEN
STATE OF FIARIDA ~
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COUNTY OF ST. LUCIE
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NOTICE is hereby given that pursuant to the provisions of t
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Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
.Commissioners of St. Lucie County, Florida, claims a lien in the
r amount of _ Five Hundred Sixty Six and 00/100 t
566.00 ) Dollars against any real or personal property or '
interest therein presently held or after acquired by
- - ' (Name of
Thomas Shannon pf 272 Solida Circle, Port St. Lucie, F1
Indigent or Recipient) (Address) -
for money -directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Christopher_ shannon
- son Of sald Thomas Shannon
(Relatignship)
;?s follows : - - -
HOSpital: Lawnwood Medical Center
Date Admitted: 9/2/78-
9/6/78- -
Date Discharged: '
Number of Days: 4 at $ 179.00 per day = $ 716:00 -
I' Less Credits 150..00
'j $ 566.00- - f
i - Amount of Lien
Dated at Fort Pierce, Florida, this ~ day of Jan
~ (This Amended Notice of Lien s ersedes Noti.e of Lien filed
1g 79 December 5, 1978 and recorde i OR Book 9, a 2)~
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(Title) .
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SV:OR~T to and subscribed before me -
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t:iis v~% ~ day of ~-s ~ -~-c ~9 % FItEO -AND REC`OR_
• ST. LUCIE COUNYY;~
~•~t^ORO VERIFI~O
x Notary Public State of Flori at Lar4e; -
• li,~ Ca:a.*.:ission Expires : / ^ -j` _~a1 ? r-,~'-'"_~~- st~l•cF r'~trRAS _
, - .CLERK CIRCUIT COURT -
This instn~neet was P~Pa~ by _ ~ tJ.~. o ~ - .
~tVi77 J. ADAMS ,
St. Lucie (.o..n~y~ Aam;ni~tratan .c ~ ~ 80~~~
Fort Pierce, - _ '
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