HomeMy WebLinkAbout2630 1611~A~ ,
i~~~
i ~~`i~
r~.
~R ~o~t~us
NOTICE OF LIEN 11[tORO YE~ tE0 4~T
M~ 2 9 ~M'Tt
STATE OF FLORIDA
CQUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions af _
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 Two Hundred Eightv-four and OS/100
284.05 ) Dollars against any real.or personal property or
interest therein presently held or after acquired by
(Name of -
Tina Eller of 1012'~ Orange Ave., Fort Pierce, Florida
Indigent or Recipient) (Addressj
for money directly spent by St. Lucie County~for the care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
F
e
~of welfaLe assistance, as follows:
Hospital: Fort Pierce Memorial
Date Admitted; 11/9/71 • .
Date Discharged; ~1/14/71
Number of Days: 5 at $ 56.81 per day= $ 284_05
~ Less credits None
Amount of Lien $ 284.OS
- DATED at Fort Pierce, Florida, this G~" ~ day of
April , 29 72 . ~ - •
.
' • - . ( ignature)
County Attorney
(Title)
-
~~~~i~.Wt~l.2D~_, ,to and subscribed before me
;~~_s't :
. ~ - /
,
~ :~'thiS,'E~ ~ day of ' ~ 19~..
v. .
~ , . -
3 _ =
. ~ .~"f'''l . ` A
`l' ~i
•„Ko~'~ Public State of F orida Large
' IIbU1R? I~l All1E oF FLOIts011 AT LI1R6E
' • MY CQMIAISSION E:(P1RES ~AN. 21, 1974
My Commission Expires : ~o.:~w• tt~3u F~r.o ~r. c~~ t~:'~~ ~sr
TNIf INfTRUMENT 4VAS PREPARED ~ .
RALPH B. WILSOtV. ST. LUCIE COUNTY a~~ ~
COURTHOU&E. FT. PIERCE, FLORIDA
, _ _ _
~'''~u~ _ _ ~