HomeMy WebLinkAbout0033 ~VVI` VYV
~
AM RE~II~
~ . ~E ~uN~ ~ ~3
c~ER~c R w ao~t ~ 2845
RECORD vEa~F~E~,_...~ ~ NOTICE OF LIEN
,I~ 1 9 ~o I~'7Z
,
STATE OF FLORIDA
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2191, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucxe County, Florida, claims a lien in the
amount of One Hundred Thirteen and 14/100
113.14 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Rosa King of 516 N. 8th St., Fort Pierce, 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 : •4/23/72 ~ : . ~ ~
Date Discharged: 4~25~~2= _
~ Number of Days:~.at $ 56..57 per day= $ 113.14
~ . .
I Less credits None
E
~ Amount of Lien $ 113.14
~ -
DATED at Fort Pierce, Florida, this „~'U day of
JulY , 19 72.
.
•
(Si nature)
• County Attorney
(Title) ~
~ '
~
SWORN to and subscribed before me
, 19~~ ~
_ this day of . ~
~ .
. . -
_ . - ~ .
. . ~1~1 •
Notary Public State of Florida a Large i;,; .
NDT~RT POBLIC. STATE OF FLORID~ ~T UR~E " ' ' , =~4+`~ .
MY C~:.1:: t~SiaV EXPiRES JAN. 21. 1974 :1,
My Commission Expires : ea:nm r~u ~am w. DIESTEUiORST i: ~ Y
- - . -
. ~
~ . ~ _ . - - ~
TAIS iN57P.UME'~T IVAS PREPAREO BY i;i:::`~ 1~
RALPH B. WILS~*l. £T. Li1ClE COUNTY60~~O~ PAGE ~f a
_ ~ COURTHOUSE. FT. PIERCE. Ft_ORIDA r ~
,
_ - - - -
3 : I, -
~ 3- ~V .J h ~4i,~e
`~c
. ~~~~":?~~~.~y.~~~: ,m ~~.v ~x