HomeMy WebLinkAbout2284 266122 ';S~Si~~?~.
• lii~.:~ 's-f~uY]r Fi.~.
NOTICE OF LIEN ~"~F ~~~jF~s ~t,ts
fs~i±'1yfk:.j+`~ CQ` ~
STATE OF FLORIDA ~ ,v yl ~ ~i3
COUNTY OF ST. LUCIE `~,s~~22
NOTICE is hereby given that pursuant to the provisions of ,
Chapter G5-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Seven Hundred Seventy and 84/100
770.84 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Otis Sams of 3101 Avenue G, 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 Indignet or Recipient
of welfare assistance, as follows:
Hospital- Fort Pierce Memorial
Date Admitted: 1/2~~2
Date Discharged: 1/16/72
Number of Days: 14 at $ 55.06 per day = $~~0.84
Less Credits None -
I
f
{ Amount of Lien S 770.84
~
Dated at Fort Pierce, Florida, this day of
~
~ October 19 73 ,
. -
.
~ •
~ (Sig ature)
County Attorney
(Title)
~
~ SWORN to and subscribed before me
~ ~ ;
this day of ~ , l~j . r.` -
~ Lv f- - ^ c ~
~ o\ • O + L,
~ ~ ~ ~ .
~w Notary Public State of lorida t Large -
~ ~ . , i .
My Commission Expires : /-a-/- ~y~ ~
.
~ THIS !NS'•P,L'R•F~;- C:AS FPf-nqpcD ['Y
~ RALPH B. WILSON. ST ?_uc;~_ c~ur3rY .
COURTHOUSE. FT. P(EFtCE. FLORIDA
~ t 219 PAGf ~~~J
~ec~
~
~ , - . . _ - ~
~ _ _
~ w - s " ~ rnt, :3~"~,
?."3fi~"i'V~a.~;~.T .r_ , . . . a",t'~'-;e'-xg~