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446349
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 Thousand One Hundred Forty eight and 00/100
2,148.00) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Helen Peak of 1606 Aven~ n_ Ft_ PiPrre_, 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 Centel^
Date Admitted: 11/19/78
12/07/78
Date Discharged:
Number of Days: 17 at $179.00 per Day = $3,043.00
Less Credits 895.00
i
~ Amount of Lien $2,148.00
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DATED at Fort Pierce, Florida, this 29th day of May ,
~ 79 (This Amended Notice o Lien sup se Notice of Lien dated
19 April 10, 1979 and c~ed in 0 Bo ,7, page 266)
~ i919 JUji - I Ail ~ 5
FILED kn0 RECalttlEO ~ (Signature)
S ROGER
POITRASA~
p,ERKCIRCUITC my Attorney
RFCAtOYERiFt£0_!~ (Title)
446:349
a SWORN to and subscribed before me
This instrument was prepared by
~ ~iVITT J. AQAMS
this~_day of 19~.
e St. facie Co:.nty, Administrai~on iiidy.
e ~ ~ ~ ~ _ fort Pierce, Florida
Notary Public State of F orida a L,~,rge ,
~ . ~
My Commission Expires•
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