HomeMy WebLinkAbout2123 299'799 ~
NOTICE OF LIEN ~
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STATE OF FLORIDA ~ ~ ~ ~
COUNTY OF ST. Luc~$ ~~9~99
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
. • s .
amount of Six Hundred Forty-nine and 44/100 •
649.44 ) Dollars against any real or personal property •
or interest therein presently held or after acquired by
Millie Modine of 115 N. 16th St., Ft. Pierce, Florida
(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: 10/25/74
Date Discharged: 1~1/3/74 . ~
' Number of Days: 9 at $ 72•16 per day = $ 649.44
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~ . Less Credits None
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~ Amount of Lien $ 649..44
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~ Dated at Fort Pierce, Florida, this day of
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~ January ~ 19 74. .
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(Sign . ure)
~ County Attorney
~ (Title)
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~ SWORN to and subscribed before me
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~ry this ~ da of _ .
~ , y - 19~,.,~
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Notary Public State of Florida at L gd,$~
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My Commission Expires : / ~ • _ <v _ -a:-
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TFSIS IPiSTRV~•'-... ;,sc F- - . Y ~ ~s .
~ RALPH B ~1t~L5_;"..ST. ti~c_,__,C'~',`iiY '~i CrY~ ,
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COUftTHGUS~, rT. PtLttG~. FLORtGA
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