HomeMy WebLinkAbout0009 2959'73
NOTICE OF LIEN FILED AND REC RpEp
' ' ST. WC~E COUM~Y ilA.
ROGEii r01TRAS
CIE~K~cs!+ff~n COURT
~~~na: 1.
STATE OF ~ FLORIDA NOY 7S I I 24 AM ~~~I
COUNTY OP' ST. LvciE 2959'73
NOTICE is hereby qiven that pursuant to the provisiona of
~ _ w~.~
Chapter 65-2181, I.aws of ~`lorida,- ~ets a~ iyb~, zn~ ~~rd cf C~nty
Cons~.~ssioners of St. • Lucie County, Floridn, claims a lien in the ;
amount of Thirteen Hundred Seventy-one and 04/100
1371.04 ) Dollars against any ieal or personal property
~
or interest therein presently held or after acquired by .
Mabel~ne Williams of Rt. 3, Box 320, Fort Pierce, Florida
(I~digent 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: 9/19/74 ~
~ Date Discharged: 10/8/74 - !
Number of Days: 19 at $ ~2•16 per day = $ 13'11.04
~ ~ ~ None
- Less Credits _
,
~ Amount of Lien $ 1371.04
i
~ . ~ ~
E Dated at Fort Pierce, Florida, this day of
November ~ 19 74 . ~ ~ _
.
(Sig ture) • -
County Attorney
. (Title)
SWORN to and subscri?~ed before me
this v?oS ~ day of d7 , 19_~
lT ~ f t •
Notary Public State of Florida a arge ~~,~~~j+.'~~,
i.~h~S .1'"" {lj/I _ Y' ' . _
A~%ERn_
~G ` ,'`7,
My Commission Expires : ~
NOTARY PU6lIC STATE Of _ ~ , ~r'-
h+ wk•niSSiun cxF:atS t • , ~7~_t', '
~oNO-o ~kxv :,~~seni ~±~:u~
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TNIS I~lSTrUMF"'T ~`:AS ~'RCP: ~cD BY - .'~,~~'l.Uq t i~~/.'.::sL..'~~+' _.1~~ .
~~..~A~.~ ye~,.~ ~ ~
RALPH S. WtLSOtv. ST. LUCi.. :OU~vTY r~:;.,~,' ~,2 -
GOURTHOUSE. FT. PIEKGE. FLORtDA ,~~~t~~~!;.~
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