HomeMy WebLinkAbout1296 19~~~. FIL~p qN.D .EtE,~ ~,p
ST. l-UC1f C~ ~FIA.
NOTICE OF LIEN "f ~dg~~: ~ ~~D
~ ~
' i
'70 M~~Y 7 A~I IQ : 7 ~
STATE OF FLORIDA
~~c
~ ~ ~ f'0)~ g ,
COUDITY OF ST. LUCIE ~ CL~RK ~C(FtCUtT'~OURT
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws~of Florida, Acts of 1965, the 8oard of County
Commissioners of St. I,ucie County, Florida, claims a lien in the
amount of One Hundred Twelve and 96/100
~
112.96 ) Dollars~against any real or personal property or
interest therein presently held or after acquired by
` (Name of
Maurine Haugabook of 908 No. 23rd St., Ft. Pierce, Fla.
Indigent or Recipient) (Address)
for money directly spent by St. Lueie County for the care, hospital-
ization, sustenance or maintenance of Michael Haugabook
.
minor son ot saic3 Maurine Haugabook
(Relationship)
as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 2/18/70
Date Discharged: 2/21/70
Number of Days: 3 at $ 44~32 per day = ~ 132.96
Less Credits 20.00
Amount of Lien $ 112.96
Dated at For~ Pierce, Florida, this ~Z~ day of M~Y ,
19 0 .
.
; ~'E
j , ' - .
:.;h,`,r~';'-=x ' l~~~1~~ #
~ ;.~r~aa~.. r . ~ .
I^ . ; S
n~• ~,~~4~. ~a=J ~ ~ (S gnature)
~Y
~
~ v
k s,;~a;~''~`''~~ County Attorney
, ;
~;~si`
r r'E~ i..~„ .
-tt.-• . (Title)
,-t. i rS~~
, :-aj ~ ~'J,~ =
SWORN to and subscribed before me
this _~_day of ,~9 .
'
.
Notary Public State of Flo da at Large F~ ~
` , ~~~,`T~~rri~..,. ~ . ' .
My Commission Expires: i-B2/- f .
~
1-.T.
~ ~,~,,~~,3- s _ f
T .
_ ~,r:'•r ~~R
~ ~ a -r~'~
TMI• INRRUMENT kyAS PREPARED 9Y -i
RALPH 9. WlLSON, ST. LUCIE COUNTY 3: r O R 1 Q
COURTHOUSE. FT, p~ERCE, FLORIDA ' dOOK184 PACEi~v¢
:
.
•
. ~~~R~ - ' _ '
. . _ - - ~ - ~ ~~r .+r--as~.~+~a--::-_