HomeMy WebLinkAbout2963 NOTICE OF LIEN ~ L
STA9'E OF FLORIDA 30s9~$
COUN'rY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provieions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Com~aissioners of St. Lucie County, Florida, claima a lien in the
amount of Three Hundred Sixty and 80/100
360.80 ) Dollars against any real or personal property
,
or interest therein presently held or after acquired by
Roosevelt Fontaine of 909 N. 13th St „ Fort 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:
Aospital: Fort Piecce Memorial
Date Admitted- 1/10/75
Date Discharged: 1/15/75
Number of Days: 5 at $ 72•16 per day = $ 360.80
' Less Credits None
Amount of Lien $ 360.80
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~ ~Dated at Fort Pierce, Florida, this ~ day of
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~ April ~ 19 75
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~ (Sign ture)
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~ - County Attorney
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~ SWORN to and subscribed before me ~t~-.K ~;~~.~~s,T C4bRT
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~ this ` day of ~ , 19" ' f ~ ~ +9 12 ~'1~
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} Notary Public State of Florida~ at Large ~ .
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~ My Commission Expires: - % . 1~~.~1 U : ~ ~ ~
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a THIS INSTRI;l~Ff:T t••pq p~r^nnci'f TSY •.P..'• • ' ~
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~ RALPH B. W'IL~•;~^:. ~T L'.;~'.c:. ; '~V ~ ~
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