HomeMy WebLinkAbout0065 • ~vuza.~V
FI~E~ AND RECOROEO'
ST, l.l1C1k COU~ITY~ Fl.p,
r ~ n~~ • ,~r!~r~-.r.~
. . - . _ . 1~ .
= 1.65436
I~TICS OF L28N 8~,~ 2 2 AM 3: 2 4~~~~
~
i'0!'Fi :S
S~'1'$ OF FIARII~1 CLE~tK CIRCUIT COURT
COtI~iTY OF ST LUCIS
NOT=C$ is hereby given that purausnt to the provieions of
Chapter 65-2181, Lnwa of Florida, Acta of 1965, the eoas~d o! County
Con~nisaionere of St. Lucfe County, Florida, elaima a lien i~n the
amount of _ Four Sundred Forty-one and 87/100
441.87 )~llars aqainat aany real or personai property or
interest therein presently held or after acquirad by
(Na~as of
I.ouis ~Iilliams o~ 2904 Avenue I, Ft. Pierce, Florida
-
indigent or recipient) (Address)
for aoney directly spent by St. Lucie County for the care, hospital-
iaation, eustenance or zaaintenance of eaid indigent or recipient
of v~elfare assistance, as follo~we:
8~ospitsl: Fort Pierce Memorial
Date Admitted: 12~23/67-
Date discharqeds 1/ 5/68
Number of Days: 13 at ~ 33.99 per day 441.87
~
` Leas credite None
Amount of Lien ~ 441.87
. D~ATB~D at Fort Pierce, Florida, this dsy of March ~
19 68 . ,
. .
(3 gnature)
County Attorney
~Title) ~~~~N~..,~.,I.{~,~,1.
~,,,.~``~\i Alq~ ,
i i J~ i
'ii~~ ~ ? i'
J•3 ~ -
~ swo~ to ana subscribed b~efora me • - . . x _ ~,=r= - _
. ~ 4.. : - .
~ - r ~ ;L v>:'.' f. ~ ~ . ~ . : A: _
68' ?
thi~,r~,.~ay of , 19 . : f-~ . , : " :~M . ~
~~.~~~.~u?~, . _ ' -'i%'~,J'' • ; ? ~ ; :
~ / i ~ ~ .
n ~l F - ~f`• r Q. _ K.:.` " i
~ ~ ~ . i r/`~ . t ~ a :
~
: ` ; • - ~e , ~ _ . ~ .
: ~ i ~ . 1J!*yr ~
= ~
:-';btq ~ _ ,':~tate o! F ida at Laege
% G:7~:~~•- ~~j ~ ~ ~l:`r
i~ ~O / I ~
. ~ ~iss~bri' 8xpirss: ~ ~
' ~
4 Nota ubl'ic, State of Florida at Larga
. v; F ~ My Cammiss'on Expires ,
~~y 30, i96?
'~~.~~~~.,•.r~`'~,, B~nOed dy Iransamer~ca Insurance Co.
'j,,.d~
aouK~~l1 PACE 65
Y~ K - - - _ - _ ~ -
~ ~ ~ ~ - ; ~ ~
~ .