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AMENDED
NOTICE OF LIEN
STATE OF FLORIDA
COUNTY OF ST. LUCIE
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
in the amount of Two Hundred Seveny eight and 00/100
278.00 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
• (Name _ of
James Griffin of 429 N 14th St Ft PiercE±, Fts~ -
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: Lawnwood Medical Center
Date Admitted: 10/10/78
Date Discharged: 10/12/78
i Number of Days: 2 at $179.00 per Day = $ 358.00
Less Credits 80.00
278.00
Amount of Lien $
-
DATED-at•Fort Pierce, Florida, this ,day of Jan
(This Amended Notic Lien super a es ice of Lien
19 79 filed December 19, Z9 `8 and recor in Book 300,
page 258)
Si nature)
County A ney
(Title)
SWORN to and subscribed before me .
-
- this~day of t ;..u•k--z_-~ 19 FILEO AND RECOR~~
• ST, LUCIE COUNTY. FLAN
t ' ,tom=C~-~- '~:~.^CR7 VFRIF~ED .
Notary Public State of Florida a Large 4a3a'~0
My Commission Expires -'~Z °~'?;~':~''j"=, , fE6 ~
This instrument was prepared by _ ~ • ~ ~ L• .':k CLERK CIRCUIT COURT
i LEVITY J. AiA~`15 "`f r'• s -a. s~.:.;'f-
St. Lucie Ca.ntr, A,,,n~,u.t. auon eld~s ~i~ F' t; K' - ~.~1.
Fora Pierce, tbrida • ''`_"'r . ~ g00K ~
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