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~ ~ DED .45~.915 ~
NOTICE ~F LIEN . ~
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STATE OF FLORIDA
COUNTY OF ST. LUCIE
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NOTICE is 'hereby given that pursuant to the provisions of ~
Chanter 65-2181, Laws of Florida, Acts of 1965, the Board of County ~
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Commissioners of St. Lucie County, Florida, claims a lfen in the
r' amoun:: of Eighteen Hundred Forty four and 49/100's
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1,844.49 Dollars against any real or personal property or •
interest therein presently held or after acquired by
(Name of
. Martha Gamez of 301 N. 13th St., Ft. Pierce, F1
Indigent or Recipient) . (Addressa
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of John camez • ,t
Son of said _ Martha Gamez _
(Relatiqnship)
;~s follows : .
Hospital: Jackson Memorial Hospital
Date Admitted: 4/11/79.
~ Date Discharged: 4~28~~9 ' ~
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~ Number of Days : 17 at $ 263 . 57 per t~ay = $ 4. 4-80 _ 69
k. ,
~ Less Credits 2,635.70
~ ~ ~ Amount of Lien $ 1,844.99
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~ Dated at Fort Pierce, Florida, this 17th aay of July ,
(This amended notice of lien su rsedes tic of lien.dated
19l~. - July 6, 1979 and recorded in ok 312„ e 6 ~
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' ( ignat e)
~ , County ttor e~ -
(Title) . ~
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~ Sk'OR~I to ana svbscribed before me • ~51915
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t:~is 17th day of . July ~~g 79. ~ ;
~ ~919 J~.l? 18 A~ ~+7 ~ 3
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~ ~ ' ~ FILEO AND kECOKOtO
- 5T. UClE COUNTY.FLA.
R~GER POITRAS
~ ro~ary Public State of Florid ~r`'~~~rg~, c~ErucciRCUitcou
~ ~ ~ F.~COFO Vf.~.lf'Ct`-1~~-,[~~~
. 21~~ Co:a:;;ssion Expires; JanuarY-~.~~ ;1tQB2.~".r~' . _
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F•. , ~u
~ This ins!n~mes+s was prepared by s
t ?.tYi~l' l.I.A;AS ~ `
~ ~ ~,~e ~~_~.~Y, h~.~.~,..,~.at;~ a«~ - , . PA~E26~4
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fort Pierce, i-b .