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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
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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 amount of Eight Hundred Eighty one and 40/100
831.40 ) Dollars against any real or personal property or
interest therein presently. held or after acquired by
(Name of
Ruby Corbitt of Rt.4, Box 230 (Sears 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-
Tent of welfare assistance, as follows:
Hospital: Lawnwood Medical Center
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Date Admitted: 12/x/78
Date Discha1cged: 12/20/78 -
Number of Days: 6 at 5179.00 per Day = $ 1,074.00
Less Credits 167.60
Amount of Lien $ 881.40
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~ DATED at Fort Pierce, F1 rida; this / day of April s
(This Amended Notice ien superse s 'ce of Lien dated
lg 79 March 7, 1979 and re or ~ in OR Boo 4 a page 2247) ~
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(Sig ture)
• county Att
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(Title)
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r SWORN to and subscribed before me fi~E~ ~!~;7 .1`~
..OR~E~
this•~day of ~ 19~. _ ;
• ~ ~ 440215
'79 9 AM I~ : 08
Notary P lic State of Florida t Large
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; rt llus irtstrur~en! was ~t•~aar~d by •
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