HomeMy WebLinkAbout0588 212~80 '
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NOTICE OF LIEN
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STATE Cr FLORIDA ~ c~ 7 ~
COUNTY OF ST. LUCIE 212~~0
~OTICE is hereby given t2~at pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners Jf St. Lucie County, Florida, claims a lien in the
amount oi Three Hundred Forty and 86/100
340.86 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Sampson Yates of 1907 Delaware Ave., Ft. Pierce, ~'la.
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
:zation, sustenance or maintenance of said Indigent or Recipient
of we2fare assistance, as follows:
Hospital: Fort Pierce Memorial
~ate Admitted: 4/13/71
Date Discharged: 4/19/71 ~
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~ Number of Days: 6 at $ 56.81 per day= $ 340.86
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~ Less credits None
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~ Amount of Lien $ ?40.86
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~ DATED at r ort Pierce, r lorida, tnis ~2.,3 day of
July , 1971 .
~ ~ (Signature)
~ County Attorney
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~ SWOR~ to ar.d subscribed before me
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~ t:.is ~day of , 19~
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~ vota f P~~,lic State of Florida a Larye ' ~
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ify Comrc~ission Expires: l ~1- 7y~
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~ TNIE INSTR:~y...~ ':MS f'~+rP/'~'C ~Y :
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>ti RALPH B. Wi: :'~.'l.'~~ I_`; .f=_ ~+1~Y ~
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