HomeMy WebLinkAbout2278 ~2rC 3'713 =i. ~~~~r
QtERK C1R~y~ ONMt~
NOTICS OF LIEN ~ RECOItO vERIF~Ep
J~ 15 iA oe AM'.T.I .
STATE OF FLORIDA ~Ca~13
COUNTY OF ST. LUCIE~ .
NOTICE is hereby given that pursuant to the provisions of ~
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien i.n the
amount of Four Hundred Ten and 70/100
410.70 ) Dollars against any real or persorial property or
~
interest therein presently held or after acquired by
Pearlie Bush pf 3108 Ave~ue F, Ft. pler~ce of
Florida
Indigent or Recipient) ~ (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient _
of welfare assistance, as follows:
Hospital: Fort pierce Memorial. ~
Date Admitted: 10/18/70
Date Discharged:~ 10/28/70
Number of Days: 10 at $ 53.07 per day= $ 530.70
• Less credits 120.00 Ins.
~ Amount of Lien 410.70
~
i
~ - DATED at Fort Pierce, Florida, this day of
~
~ January ~ , 19 ~ 1 . - .
~ . '
~ ~ .
~ (Si ature)
~ • County Attorney
~ (Title) .
~ -
~ SWORN to and subscribed before me
~
~ : ~ ~h~$. '~'f day of , 19~,.
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p ~tublic State of Flo a at Lar e ~ '
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p CrARED Er
~ Tf11t lMfTR~1MENT W 3 ?R
r~~.~ e~ RALPH 8. W~~O~~• 5T Li;GiE COUNTY • • • y
GpuRTMQU6E. FT. PIEKGE:. FLOR:UI~
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