HomeMy WebLinkAbout0086 3~a.458
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NOTICE OF LIEN C~. t~ -
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Nori ZI ~ lo ~t~'75
STATE OF FLORIDA ^ w/+.. ;
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COtJNTY OF ST. LUCIE
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
amount of Four Hundred Fifty-seven and 15/100
;
457.15 ) Dollars against any real or personal proper~y or
interest therein presently held or after acquired by
(Name of
Agnes Walther of 601 Ave. B, Apt. 416, 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 Indigent or Recipient
of welfare assistance, as follows:
Hospital; Fort Pierce Memorial ~
Date Admitted: 6/12/75
Date Dis^harged: 6/17/75
Numb~r of Days: 5 at $ 91.43 per day= $ 457.15
~ Less credits None
i
' Amount of Lien $ 457.15
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DATED at Fort Pierce, Florida, this .Z day of
IJovember , 19 75.
(S gnature)
County Attorney ~
. (Title) ' ~
. ~
.
SWORN to and subscribed before me ~
~
. / ! ~
~ this ,~D day of ~i,t ~ ~ . 19~.-r Y . .
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Notary Public State of Florida a a~~~ ti~••~
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My Commission Expires: /-~d a,,; ~
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TH~S I~lSTRU'.- - ..'AS P^~.^-'1:-?rD EY . „ ~ ~-~6
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