HomeMy WebLinkAbout0040 232852 ~
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~CLERK CIRGl11T ~
NOTICE OF LIEN 1tECORD YERIFif9~~
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STATE OF FLORIDA 23 c852
COUNTY OF ST. LUCIE ~
~OTICE is hereby given that pursuant to the provisions of
C~zaptar 65-2181, Laws of Florida, Acts of 1965, the B ao rd of County
Co:nmissioners of St. Lucie County, Florida, claims a lien in the
amount of Oae Hundred Forty-one and 28/100
141.28 ) Dollars against any real or personal property or
intzrest therein presently held or after acquired by
(Name of
Mack Jones of 1611 N. 19th 3t., Fort Pierce, Florida
Iridigent 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: ~
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Fiospital: Fort Pierce Memorial
Date Admitted• 2/20~~2 '
t
Date Discharged: 2~24~~2 :
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~ Number of Days: 4 at $ 56.57 per day= $ 226•28 ~
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~ Less credits ~ e5.00 •
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f
~ Amount of Lien $ 141.28
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DATED at Fort Pierce, Florida, this 6~~` day of ,
July ~ , 19 72.
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. ( ignature)
County Attorney
- (Title)
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SWOR` to and subscribed before me
_ this ~ ~ day of . 19~• _
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' ~ . • - -
~ ::ctar~ Pubiic State of Florida t Large •
+ IIOTAIR PUBLiC, STATE !1f FLORIDA AT Wl6E :
MY COAAki1SSION EXPIRES JAN. 21. 1974
My Cor;~mi s s iOn Expi res : 00(~DED iNRU fRED W. DIESiE1HORST -
THIS iTtSTRUMEr1T 1NAS PREPARED Q'/
RAIPH B. WILSON. £T. LUCIE COUNTY O R ~
COURTHOUSE. FT. PIERGE. FLORIDA eOOK ~O~ PACE
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