HomeMy WebLinkAbout2284 ~r • a~ I ~~7 ~N~~~
-""~~1t ?011A~1
. NQTICE OF LIEN ~E1tK ~~q~Wj ~
I~E~oAO vE~~~~EO
,Ma~ 25 ~0 08 ~M'11
STATE OF ~LORIDA
20~7~.9
CQUNTY OF ST. LUCIE .
NOTICS 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 in the
amount of 4ne Thousand Sixty-one and 76/100
1,061.76 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Delila Butts of 1223 Avenue G, Ft. Pierce, Florida
Indigent or Recipient) ' (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or mai~ntenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Jackson Memorial
Date Admitted; 11/17/70 .
Date Discharged: 12/2/70
Number of Days; 12 at $ 88.48 per day= $ 1,061.76
Less credits None
Y
Amount of Lien 1,061.76
~i ~
! DATED at Fort Pierce, Florida, this ,,~5 ~ day of
i
~ January , ~9 71.
~ .
- ~ . (S gnature)
.
~ ~~tiWiMUa. ~'S- " County Att~rney
~,,'~l~,s j ~~h~,~;~
~ .....~~,i ~ (Title)
g ~
~ - ~4% ti~' @ ~ ~ •
~ . ~
F ~ • ~ ' ~ ~ p• ~ .
~ -G~:~~~~~;~~3=':~_
~ ; ~
;,~~5~~' d subscribed before me
~1 • :
`,~i?~•.~ ~ ~
~ day of , 19 .
~ . ..~~~~~~t?ti'~'` ~
,
~
~ Notary Public State of Florid at La~ge j~
~ - ',~T
~ My Commission Expire~ : /-o~~ ~ ~"a
~ -
~ ~ITS 1NST1t1JMENT WAS P1~EPARED CY
~ RALPl~1 9. VYtLE7V. ~T L~rrl~ C.7UNTY
CAL~R?HOU6E. FT. PIERGc. F~.Ort?v/?
_ ~ _ ~ ~ ~ „
- ~ ti~ 4 ~~°4 ~
~ ~.r ~ _ rt~`~
~
_ _ _ ~ _