HomeMy WebLinkAbout2985 '~$9.~'~' ~«EO ~ti~• ~tco~oEp
~ NOTICE OF LTEN it. t.ue+~ ~~uwTr FU?. ~
p ~ a~c;.; ~~'?RAS
n~c~ RP vf
~~:`if o ~oU11T _
? .
STATE OF FLORIDA ~ Z5 II 22
COUNTY OF ST. Luc~E ~ ~9594'~ ~ _
~
NO~ICE is hereby given~that purauant to the provisions of ~
Chapter 65-2181, Laws of Florida,~ Acts of 1965, the Board of Cowity
Com~nissioners of St.•Lucie County, Florida, claiins a lien in the ~
{
amount of One ~Iundred Eighty-one and 92/100
181.92 j Dollars against any real or personal property
or interest therein presently held or after acquired by -
~ LeRoy Wood of Whispering Pines, Apt. 7, Fort Pierce, Fla.
(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: 10/3/73 7/11/73
Date Discharged: 10/3/73 7/12%73 ,
Number of Days: 3 at $ 60.64 per day = $ 181.92 ~
Less Credits None
.
i Amount of Lien $ 181.92
P ` ~
Dated at Fort Pierce, Florida, this day of
November , 19 74. . • , ~
.
(Signa ure) _ ~ ~
, ~ County Attorney
(Title)
SWORN to and subscriT~ed before me
` J
~ this ~y` ~f~ ~day of :~e -v.-E'~.~~~? , 19~.
,
y
,
~ . ciJ !~1 I 1~?t_ a~:;~ • ~ •
:
. ~ s. -e•....;,..;~~,-.
Notary Public State of Florida ati arge,~ .~•.;.,G~:-;
- i~:; i '-:f;~~,;.
_ ~L~1.~ ~s'~.r :,11~ ' .
My Commission Expires : : • fr Z" , ~ -
' ~ NOfAKT Pt;9uC STRiE,p~,FjOR~(3
Mt tU~+.~;,caic3r:i7j.. (f' ~~~.~..r • ~ ~
~ ^
- ROND~C~ 1NRL C=rN-~i~' ' t'~,'TfJS=D~Mir~s_ - " l
~ , C,,"t4...' ~'J . ~
~~~~~i:"i' . / .
TFlIS 1NSTRUMEN7 WAS PREPJS^ED BY _ _
RALPH B. WILSON. ST. LUCI.: :~:JNTY J
COURTHOUSE. FT. PIERGE. FLORIOA ~e~
~ . . ~OOa ~G+~7J RM;[ ~
~ ~ " .
~
~
~
E.~ ~ . x
_ . ; _ ,