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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 One Hundred Thirty- nine and 00/100
139.00 ) Dollars against any real~or personal property or
interest therein presently held or after acquired by r
Fred Mathis Of 2802 N. Fed.-Hwy., Ft. ~Nerce ~~la
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: 9/24/78
~ 9/2S/78 ~ -
Date Discharged:
Number of Days: 1 at$179.00 per Day = $ 179.00
' Less Credits 40.00 _
139.00
Amount of Lien $
DATED at Fort Pierce, Florida, this %~1~-day of Jan
(This Amended Notic .Lien sU er s Notice of Lien
~ 19 ~9 filed December 5, 1 78~ d recor d i Book 299, page ~
382)
1
• ( ignature)
J County- rney
(Title)
SWORN to and subscribed before me a FILE'0'aND~REC03~. ~
ST. LUCtE COUA'~'Y.~••
thi s~1 day of ~ 4- 19 7 4a~~a3a3 •
- ~ ~ 'T9 FEB l A~1 9. 18 .
Notary Public State of Flom a at Large` qj
oZ x CLERK C{RCIitT COURT
My Commission Expires : ~ -
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This instrument was prepared 1~ ~ ~
LEVITY J. ACE+MS _ ~',y ~t~ 1'~'~
~ .St. loos Co_nfy, Adm~ni.t.alion eid~s y * } _ P~E~~ .
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