HomeMy WebLinkAbout1644 !
. ~~~h9~ ~ ?
NOTZCB OL~' LIEN W~ ~ •
20~.542 . ~ ~
~ ~ . '~r,~I
STATS OF FLORIDA 20~~~
.
COtTNTY OF ST. LUCI$ i
NOTIGB ia here~y qiven that purauant to the proviaions of `
Chapter 65-2181, Laws of Floxida, Acts of 1965, the Board of County
Canmissioners of St. Lucie County, Florida, claims a lien in the
amount of T2iree Hundred Seventy-one and 49/100
- ;
(S 371.49 ) Dollars aqainst any real or personal property
or interest therein presently held or after acquired by
. . (Nanae of
Wilson Hardeman o8.506 N. 17th St., Fort Pierce, Florida
Indigent or Recipient) ' - (Address) ~
for money directly apent by St. Lucie County for the care, hospital= ;
ization, sustenance or maintenance of said Indiqent or Recipient ;
. - ;
of welfare assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted: 9/28/70
.
Date Discharqed: 10/5/70 ~
. ~
Number of Days:~ at $~53.07 per day = $ 37~..49
I Less credits None
E ~
Amoun~ of Lien $ 371.49 ~
~ ~
DATED at Fort Pierce, Florida,.this ~ day of
Novemlier , 1970. ~
,
.
(Siqnature)
County Attorney
~ (Title)
~
- . .
_ .;r'
. . . ~ °x,,, -
. ~,if
i
~••'SWQi~t ~Q and subscribed before me ~
. ; ff
i
~ ~ ~ J , / .
~ J • ~ ~ -'~l`
` ' da of ~r~ ~ri•-(~? , 1970.
~a Y ~
,.s,~ ~ - ~
.~~r~ ~ ~Q ~
~
rto y Public Sta of Flori at Larqe
~t~r rosuc. sra~ o~~Fto~rn~ a t~
YY CnI?~Mt~~:~Cz."1 ~:~~:•.~o .~2i. ?1. 197~
My Ccmmisaion Bacpires: ~~v ri~~ F:~~ u. ~'~~~-~i,%^sr
,.•~S r:.8..._ . .s -
RALPH a. W1~5Ci1. F,1 RG6. FIrUt2it7A
GOURTHOUS~. FT• -
- _ -
- "`xt_ . ~ ~ ~;~~n