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HomeMy WebLinkAbout0004 _ ~ • FILEO AN~ NECJROEO ~ SL WCIE COUNTY flA. - NOTIC$ OF LIEN aoccR ~u~tR~a CIERK C~~CU~T COURT • RFf.Op7 YEa~FlEi1.~.,,.. • 295968 No~ 25 ~ i I 24 AN'7~ STATE OF FLORIDA COUNTY OF ST, zvciE 295968 ; , _ NOTICE is hereby qiven that pursuant to the provisions of ~ Chapter 65-2181, Laws of Florida,~ Acts of 1965, the 8oard of County . Conmai~sioners of St.•Lucie County, Florida, claims a lien in,the t amount of Seven Hundred ~veq'ty-seven a~d 68/100 ~ 727.68 ) Dollars against any real~or perso~al property « or interest therein presently held or after acquired by James Plain of 526 No. llth St., Fort Pierce, Florida (Address) - ~T;~~:~P~,t ~r _Recipient) _ • 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 MemoXial _ ~ Date Admitted: 6/17/73 i_ . ~ ~ Date Discharged~: 6/29/~3 ~ . ~ Number of Days: 12,_ at $ 60.64 per day = $ ~Z~•68 ' i Less Credits None ~ 727.68 ~ Amount of Lien $ ~ 6 ~ ~ - Dated at Fort Pierce, Florida, this day of November , 19 74. . (Sign turej County Attorney (Title) SWORN to-and subscrihed before-me ~ this ~5~= ay of ' . 19~~ _ ~ ~ . . . _ ~=t~•~_ ~ ~~,St.:i•. . ~ , ? . r~: ~ Notary Public State of Florida at rgg0~.~:;.~-~ :n Y-~,::;~.: - i: . j~'`F.s••.~. _ r~r` - . . ` a ~ ' ; ~ :JA AT IARGE My Co~nission Expizes: 7~=~~~~~;~~~`~.,. 21. ~~e 60NDEp i~' Cf UNDERwo1TERt ~ t.~~ ~ f ' C; ,.i ( T~~~S 1`JSTP.llME":T 4VA3 PREPA~ED BY ~ O R KtiLE'fi B. WIL~O;J, ST. LlfCl~ 'OUNTY go~ p~rC ~ F fIWC COURTHOU5E. FT. PIERCE. FLORtDA _ • ,~c~. . - ~ ' s ~ a ~L -3 ~a~, t . _ _ ~ . _ ~ ,~~."tF"'