HomeMy WebLinkAbout1755 1'72443 (
FIlEO AND R~CORQgQt {
ST. lUC1E COUNTY, irt.A; ~
RF.CQRfI VERIFIEp }
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STATS OF FLORIDA ~QGE POITRAS
CLERK CIRCUIT GOURT;
COLZZ:'Y' OF ST T~TJCIB
No~ric~ is ~~reby qiven that pursuant to the provisione o~
Chapter 65-2181, L3ws of Florida, Acts of 1965, the Board o~ County
Conmisafoners of St. Lucie County, Florida, clai~as a lien in the
amount of Four Hundred Twenty and 35/100
4_?0~ 35 Dollars aqainst any real or personal property or
interest therein presently held or after acquired by
(Name of
Nettie Cayson pf 910 No. 18th St., Ft. Pierce, Florida,
indigent or recipfent) r~ (A~dreee)
for mo^ey directl;~ spent by St. Lucie Cotuity for the care, hoepital-
izati3~=, sust~:l ~:~ce or maintenance of said i;ndigent or recipient
of welfare asaistance, a8 follows:
Hospital:. Fort Pierce Memorial
Date Admitted: ~/4/68
, Date discharqed: ~~19/68
Mwaber of Dayss 15 at ~ 40.69 pe= day s$ 610.35
' Less credite 190.00
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C Amount of Lien $ 420.35
DATSD at Fort Pierce, Florida, this day O~ November ~
19 68 .
~
. ~
( ignature)
Countv Attornev _
(Title)
SWORN to and eubscribed before me
this
~day of , 196 ~
, _ ~ 1 l,A 1
Cv .
.t • ~
~i ,
~crtai~y .P fc 8tate of Florid t Laaqe - _
.
. .N~'Cbonm~se~on Bxpires: 3~ ~ 6 ~ . - . ~ ~ '
. , ~ .
~•f ~ L... ~t'~ ~
• `y, T••,S I*7STR_'M~';i WAS PR~PARED BY ~~01~~~~ r~"-~~~~ •
RALPii B. WILSON. ST. LUCIE COUNTY
• ! GVURTHOUSE. FT. PIERCE. FLORIDA