HomeMy WebLinkAbout0032 . ~ ~
~ 183309 fn.~o ANO a~~ ~r .
ST, LUCtE COUNTY. F~
. NpTI~;g Ot~' ~LYgf~ RFCORD VERlFI~D
~ 18330;~
.
~ ' ~ '69 SEP 23 AMI 8' ST
STATS OP' FLORIDA '
ROGFR r ITRAS
Ci.ERK CIRCUIT COURT:
COUNTY OF ST. I~UCIB f-- -
: NOTICS is hereby qiven that pursuant to the proviaiona of
Chapter 65-2181, Lawe of Florfda, Acts of 1965, the Board of County ~
Canmisaioners of St~ Lucie Caunty, Florida, claime a lien in the
amount of Ten Hundred F~.fty,seven and 94/100
e
1,057.94 ) Dollars aqsinst any-real or peraonal property
' 4~ in~~~eat therein presently held or after acquired by
(Nazne of
Charlie Smith . of Rt. 1, Box 462, Ft. Pierce, Florida
~ - Indige~nt or Recipient) - (Addres~) _
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintQnance of said Indigent or Reeipient
of welfare assistance, as followa; ~ '
Hospital: Fort Pierce Memorial ~ _
Date Admitteds 12/23~68 11/16/68 ~
and
• Date Diacharged: 12/30/68 ~ 12/5/68
Number of Dayaz 26 at ~ 40.69 per day = $ 1,057.94~
• Less eredits None
Amoun~ of Lien $ 1,057.94
DATED at Fort Pierce, Florida, this / q~ day of
- September 1969. .
.
~ .
(Si ture) ~ - ~ ~
-
. „ ; :
; ~ Count Attorne •
- (Title) ' y. ~~'r="~
. ~Y !M~ ~~'S~- ~y
~ ' GJ .~1~ ~ " i
~ t
. ~ i . r~I; ~{.'.j,`"1 i?-<:' . c ' ~
c: ~ t
SWORbT• to and ubscribed r' ` `Y
. , ~ , be f ore me ~ , •
- • ..^~\\.`;~'„3-~
: f~• `f~`1 .
t~i~is~; ~ ~ day of , 1969.
.
,
_ : ;
f.r~ . ,
_ _ ~j , ,
4t~?~~.
j 1~,~ =State of F2orfda at Lar
-
~ s ~ . ~ -
~~C,,~'~ ~ ~ O ~ ~7 .
iK~y:~~~~m~~~'~'~ Sxpiree: ~
! ~,`~H:~'t~..
` F `
7H1~ INlTRUMENT 1~~1 PRErAREO BY O R~~
ftAi.PN 6. WlL60N. ST. WCIE COUNTY d~K O~+E 32
COIrRTHOUSE, FY, piERCE, FLORIDA
y.~ ~~t z~. . , - - - . ~ _ _ _ . _ _ . . . .
~ ~ ,~z .
t d~ ~
. . .~~r~ .
~s