HomeMy WebLinkAbout2826 ~ G
.
AMENDI:D . ,
NOTICE OF LIEN ~
STATE OF FLORIDA
COUNTY OF ST. LUCIE . •
NOTICE 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 Four Hundred Sixty-Six and 83/100----
466.83 ) Dollars against any real or personal property or
interest ther~in presently held or after acquired by ~
(Name of
John ivory, Jr. of 510 N. 25th St., Ft. Pierce, Florida
indigent or recipient) (Address)
for money directly spent by St. Lucie County for the care, hospi-
talization, sustenance or maintenance of said indigent or recip-
f~~Ep a~D RECOROEO
ient of welfare assistance, as follows: . ST.tUC1E;,ouNtrF~A.
ROCf.R r"QiTRAS ~
CCERK Ci~.CU1T COURT
Hospital : Fort Pierce Memor~l RFr~RC V~'F:r~Ep`~ ~
Date Admitted- 4/18/72 N0~ 6 0$ aN ~72
Date Discharged: 5~~~72 2413'75
Number of Days: 19 at $56.57 per Day 1074.83
Less Credits 608.00
Amount of Lien $ 466.83
DATED at Fort Pierce, Florida, this 6th day of November ~
19 72 ~This Amended Notice of Lien sup ersedes Notice of Lien.
' dated July 27, 1972 and orded in OR Book 204,Page 2449).
~ ~
; ~J .
f
~ (Signature)
i
County Attorney
~ (Title)
SWORN to and subscribed before me
this b`~ day of , 19~_~/.
` _ ~ ~
~ Nota y Public State of Flori at Large `~,,N~~"~
, e~.`,,
~ - ~ ~ , • 4'
` My Commission Expires: -NO ~Apr•'c _
• C.
~ = ~ ~ a
THIS IFJS?!?!.'!ut~~•r L•/A4 PREPARED HY % V~ L I G:~
RALPH 6. ';~ILS.^.tJ. ST. LUGIE G~UNIY O~
' COURTH~USE, ~T. PicRCE. FLORtDA
'
~ Cf;
. . °~oK207 ~A~E2824
~
. _ ~
~
_ _ _ a:~,~