HomeMy WebLinkAbout2113 299~89 . E~
NOTICE OF LIEN ~ ~~~y~ I
R[~o o vtR~~~EO~_,~\
STATE OF FLORIDA ~ ~ ~ ~ ~ ~~S fl
COUNTY OF ST. Lvc~E ~ 299'789
NOTICE is hereby given that pursuant to the provisions of ~
Chapter 65-2161, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Five Hundred Seventy-seven and 28 ~100
577.28 ) Dollars against any real or personal property •
or interest therein presently held or after acquired by
Daniel Chisholm ~ of 1'76 Estia Lane, Port St. Lucie, Florida
(Indigent or Recipient) (Address) i
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
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Date Admitted: 10/3/74 ~
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Date Discharged: 10/11/74
Number of Days: 8• at $ 72•16 per day = $ 5~~•28
' Less Credits _ None
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! Amount of Lien $ 577.28
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€ Dated at Fort Pierce, Florida, this 1?/ ~ day of
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~ _ January ~ 19 75 . _
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(Sig ture) •
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~ - County Attorney
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SWORN to aed subscribed before me
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= this day of ~-n.cc. , 19,Z~
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~ Notary Public State of Florida at rge • " ; .
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~ My Commission Expires : / _,j• •-`~O~•.' ~ 1 ,~4;,.,=`
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t~ TH~S INS7F! !2T PRF. R l : •
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F'.ALPH B. VJiLo~_.,J. . • 4,
~ GJUR7HOU5t=. fT. PS~R~.G. F~vFtIJA .~~r*~~,~~,;,,
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