HomeMy WebLinkAbout0072 3214~ 4 ~
i !lf~'`•. •c.J*vr8
fT t~:~. . 1e,`• ~ ft~. ~
":.AS
NOTICE OF LIEN ~ .~Rt
f•r~
11 ~ os ~M'15''
STATE OF FLORIDA •
~ ~ 321444
_ COR7NTY OF ST. LUCIE ~
i
NOTICE is hereby given that pursuant to the provisions of ~
1 ~
Chap~er 65-2181, Laws of Florida, Acts of 1965, the Board of County s
Comm~ssioners of St, Lucie County, Florida, claims a lien in the
amount of Sixteen Hundred Two and 84/100
~
i
- s
16b2.84 ) Dollars against any real or personal property or +
interes~ therein presently held or after acquired by
(Name of
Evelyn Tullis of 1411 N. 25th St., Ft. Pierce, Florida
Indigent or Recipient) (Addressj
for money directly spent by St. Lucie County for the care, hospital- s
~
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows: ~
Hospital: Mercy (Miami, Florida)
,
Date Admitted• 3/28/74
Date Discharged: 4/11/74
Number of Days: 12 at $133.57 per day= $ 1602.84~
Less credits None
' Amount of Lien $ 1602.84
I -
' Y ~
~ DATED at Fort Pierce, Florida, this ,~j0 ~ day of
~ November , 19 75.
' . .
(Si nature)
County Attorney
~ (Title)
~
F
SWORN to and subscribed before me
~ ~ .
' 7.l.
this ~.,D ~ day of ~e-,...e,ti,~f~-E-~~ , 19
~ ~,~1#:
~ . : `
~ ' - ,L' ~ ti is-- ~ - ' '
~ ' ? ` •
~ Notary Public State of Flor' at Lar~e - ~ ° - ' : :
- .v^ ~~~H~ ~C
~ • ~
My Cummission Expires : ~ - ~ ~ CF . ' '
~ ~"j'r~,lty.~,~,~ ~ C ~ ~
~ ~ BaoK~~~ PacE ~2
~ 't~": IN5TRU'7~•tT tyAS nZ~^-AZ~rJ E3Y - - .
~ k,,._F~~. a vrii _~~~~i c:lvr~r~r
~ _
~ C~.~i~Krf,:, _ r ; . i ~.URIDA -
m ~ ~ ` .
'a+`u,- *`"-~Sd;~,~~~ ~~.e .w , .