Loading...
HomeMy WebLinkAbout0840 rt. . ~ ••L•fD ~j . •~A..~~ ~ NOTICE OF LIEN ' ' ` ''T . • ~u~ 3~ 8 sy Art ; STATE OF FLORIDA • ~9 COUNTY OF ST. LUCIE ~129 L_ _t__ ..,,.e..~.,t tn tl~e nrnvisions Of . Nlll'll.~'+ ia aicacii~i yiv~:: j::.~-_~_: - - - - ~ 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 Seven Hundred Twenty-one and 60/100 721.60 ) Dollars against any real or personal property ' T ~ , or interest therein presently held or after acquired by ; x 1 ,:a__~~ ~rr,,,~~ .,r 17(14 ?~~e_ ~t. Pierce~ Fla. (qarl/ j~jQ{,ll1G Dl VVa~o vi ~ ' ~ - ' - ' (Indigent or Recipient~ (Address) for money directly spent by St. Lucie County for the care, hospital- ization, sustenance or mai.ntenance of said Indignet or Recipient of welfare assistance, as follows: Hospital: Fort Pierce Memorial Date Admitted: 4/22/74 Date Discharged: 5/02/74 Number of Days: 10 at $ 72.r6 per day = $ 721.60 C None ~ Less Credits 4 ~ ~21..60 € Amount of Lien $ t ~ da of Datec~ at Fort Pierce, Florida, this Y July , 19 74. ~ ~ - {Sign ture) County Attorney . (Title) ~ ~ ~ S~+70RN to and subscribed before me ~ ~ th i s_~_'~ d a y of , 19~. . ~ _ ~ ^ ~ , , Notary Public State of Florida a Large ~~.,A,~ ~ j,.:•-:' , : ~ ~ly Cor~smission Expires / - 7~ 'J';'~ ~ i ~•~;.y ' . _ ~ , . ~ " ~ - . n'',,, • ' - " ~ ; • . . . . . • . 7v~g INSTRUMFNT kVfA4 PREPARED BY . ` R ~n Q Rr1LPN 9. W1~--+ON. ST. LUCIE COUNTY '~}~~'••~~.~N: i~~~`1 vJ~~~W P~IGE V~ ~ GVURTHOUSE. FT. PIERCE. FLQRIDA " ~ K _ - - - ~ ~w~. . : ~ ,.~x:~