HomeMy WebLinkAbout2531 FI~ED AND RECORD~O
153155 sT, lUC1E COUNTY. Fu?.
RECORD VERIFIED
~o~tcs oF L=~ '6t MAR ~ 2 AM5 9: 39
STAT$ Ol~ FLORIDA iiOGE+~ i•OITRAS
. CLERK CIRCUIT COURT
COL'N:"Y OF 3T LUCIE
NOT=CS is hereby given that pursua?nt to the provisians of
Chapter 65-2181, Lawe of Florida, Acte of 1965, the 8oarcl o! County
Commisaionera of St. Lucia County. Florida, claime s lien in tl~e
amount of $=~T ~'nd 25/100
(S 811.25 ) Dollara aqainst any real or personal property or
interest therein presently held or after acquired by
(Natae of
Lucius A. Raulerson of 3350 Peterson Rd., Fort Pierce, Florida
indiqent or recipient) (Addreee)
for money 8irectly spent by St. Lucie County for the care, hoepital-
ization, suste:~aace or maintenance of said incligent or recipient
of ~r~elfare assistance, ae fol]~ws s
Fort Pierce emorial 8ospital
Hoepital: Fort Pierce, Florida
Date Admitted: June 5, 1966
~ Date 8fechargedt J~@ 30, 1966
Number of Days: 25 at ~ 32.45 per day a~ 811.25
Lese credite None ,
~
~ 811.25
Anaunt of Lien $
DATED at Fort Pierce, Florida, this _ day ot February,
.19 67 • ~
. ~
Si ure) • -
. .:i. • . .
Chainaan a . }
t
(Title) . . . - ;
s - ;
~ TL° - ~ . . ;
~ . !
~ Si~R~t to and eubscribed before me l~' , ;
• i
~ this
~~day of , 19
b
„7. _ a " , f .
f:
~ . . ``,~...~r•: • ;f1. . ~
v
•
~Totary Pubiic Stats of lorids at Laege ;'r~` ~ -
. r<c _ c I ..7 , < :
My Comaiasion Bxpires: 7 ~ 74 = . . , = _
- ~ - , r, -
_ `
_ . , :
soox 164 PacE2528 ~ ' " ~ ~ ~y =
,
. ~ _ - - k.,:~~~
~
~ wr=:~