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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 Seven~Hundred Thirty~Two and 20/100
732.20 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Emma Bell Sumpter of 1603 Avenue O, 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-
ient of welfare assistance, as follows:
Hospital: Lawnwood Medical Center
Date Admitted: 7/28/79
8/1/79 - '
~I Date Discharged:
Number of Days: 4 at $208.05 Per Day = $ 832.20 F
k Less Credits 100.00
732.20
Amount of Lien $
DATED at Fort Pierce, Flor' a, this o~d.~ day of May ,
19 g~This Amended Notice of Lien s p rsedes N t ce Lien dated March
14, 1980 and record O ook 2 a e 1989)
(Si nature)
County Attorney
(Title)
1980 MAY 21 AK 11=42
F LEO AhC A-
SWORN to and subscribed before me tR«Pa~r~~. ~
tlERn CIRCWTTrtA~grp
thi s~day of 19~. ~rad~ ~~Ertl~rt~----~~~~-T -
• ,~~,~cw 4'73
06
~ Notary Public State of Flo da at L rge ~ T 4-.,,.
My Commission Expires : r`'
This is?stcument K•cs pra~nred by ;a
=~.'46~,
.[viii J. lA'.;, ~''.~y '_"a~~:'r ~~i~a':tu~.~
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St. facie Co.:cy, ti_:r:..~~..a!'tin Ll3~c - :r` ~'s
M~ex:'
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