HomeMy WebLinkAbout0019 ~J~~~ - • ~ s~~IUCiE COUNTY FLA. ~
' NOTICB OF LIEN ROCER POITRAS ~ ~
CIEiiR C~~tCU1T.C0URT
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STATE OF FLORIDA
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COUNTY OF ST. LUCIE ~~583
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N~fiIC~ is hereby giv~:n ci~a~L gur~uant t~ t2:~ grc.•~~i~'=^=~ ~+f
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Co~unissioners of St. Lucie County, Florida. claims a lien in the .
amount of ~"~o Thousand Ninety=two and 64/100 .
,
2092.64 ) Dollars against any real ~or persona~ property ~
or interest therein presently held or after acquired by .
nA~a; A R»1 1 arrl ~f 525~ Douqlas Ct, Fort Pierce, Florida
(Indigent or Recipient) (Address)
for inoney directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows:r _s
- Hospital: Fort Pierce Memorial ~
Date Admitted- 9~9~74
Date Discharged: 10/8/74 ~
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Number of Days: 29 at $ 72•16 per day = $ 2~92•64
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~ Less Credits None
~ Amount of Lien $ 2092.64
1'lI -
Dated at Fort Pierce, Floxida, this 1is ~ day ~f
November , 19 74
(Sign ture) . ~
County Attorney }
• (Title) ~
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;
~ SWORN to and ~ubscribed before me
~ S" ~ ~ ~t~ln-F%i~ ~ . 19 5~.
this day of _ ~
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Nota-ry Public State of~ Flori at Large ~`'~'`~r~ ~-;~~'''%~~'~;y
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NOTARY PUQIIC STA?E O~F,,~I ~
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THIS INSTRUMEFJT lYAS PR~°_°' '°D CY bOND`C '~RU ^vENERAI INS j r-' ~
RALPH B. H~i1L50'J. ST. L~:C., - '.-"v ~~~',i~f,.~~t~ih}i.',',:: .e/~
COURTHOUSc. PT. PIt1`2CE. FLG:-c~UA ,~~~j1111~~''~ l~
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