HomeMy WebLinkAbout0837 ~ F Eo ~wu A~,~; ~ C/
~t~:tvc~c ,:~u~~~r~
ROCEF i~~)'iR#= ~
NOTICE OF LIEN CtERK c~ ~CU~T ~,s~t ~
RvCO4; v; ~~r~EO.~,.....~
+N~1 ~ $ 37 ~'7~ +
STATE OF FLORIDA ~ t
~126 ~
COUNTY OF ST. LUCIE ~126
a.ti...a ...e..~nt tn tl~a r~rnvi sx i c~ns of
LYV11~rL io •a:.~.,....j 7.?:.... r~.~-~---- - - - c- -
Chapter 65-2131, 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 ~venty-one and 60/100
721.60 ) Dollars against any real or personal property '
or interest~therein presently held or after acquired by ~
~
f
~f 17Q5-A Sa. 17th Circule, Ft. Pierce, Fla. r
?.taicia~c aaaysa v~ -
(Indigent or Recipient) (Address) ~ E
for money directly spent by St. I.ucie County for the care, hospital-
~
ization, sustenance or maintenance of said Indi~net or Recipient
of welfare assistance, as follows:
Hospital• Fort Pierce Memorial
- Date Admitted: 4/2~~~4
Date Discharaed: 5~~~~4
Number of Days: 10 at $~Z'16 per day = $ ~21.60
k }
~ Less Credits None
~ -
F
~ ~ Amount of Lien $ 721.60 ~
~
k
Dated at Fort Pierce, Florida, this g~ day of t
~ July , 19 74. '
.
. ' !
(Signature) ~
' County Attorney
. (Title) ~
~
~ SH'OtZN to and subscriL~ed before rn~e
~
~ n
~
~ this ~ day of . 19~-
~ , r/ ~
~ k~
~
~ No~ary Public Sta e of Florida a argeti~~~,~,~ f/~~". ~
~ ~ ~ - .
_ My Commission Expires a'/~~ = •;s~~''1~` `,J' 'v -
, ' . ~~.~A ` i
, ~.):31~~C':'~;,A.
yi.; j~~•- ~i _
s r ~•...y `!L-e~
. C
~ ni~s INSTRUMENT YVA3 PREPARED er Cr" F~G' 'C~ 0 R PA~ uV7
RALPH B. W~~„SpH, ST. LUCIE COUNTY BOOK~rVV
~OURTHOUSE, FT, p~ERCE. FLORIDA -
~ . . - _
~`'~'-n . . - . . _ w.__ .