HomeMy WebLinkAbout0952 '~a~ _ r .,~-,e r
• ?
- 352690 ~ G
=T
LIj
it CouNTY
RGCi.a Pi~~iRAS ~
NOTICE OF LIEN qECORn VEFr:cfp
C~__ /
OtC I~ 9 25 AN'7b
STATE OF FLORIDA
COUNTY OF ST. LUCIE 352690
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 Ten Hundred Eleve~ a~d 42/100
1011.42 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
' - (Name of
. Grover Lucae of 619 N. 9th 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 Indigent or Recipient
~ ~
' nf f~lr° ~Q~~S±t3nCo+ ~g f2?7 1 n~rg i
Hospital: Fort Pierce Memorial
Date Admitted: 10/6/76
' Date Discharged: 10/15/76
Number of Days: 9 at $ 112.38 per day= $ 1011.42
; Less credits None
,I
~
~ ~ Amount of Lien $ 1011.42
~ ~ -
" DATED at Fort Pierce, Florida, this ~~j ~ day of
~
December , 19 76.
6
" ,
~ (Si nature)
~ - ~ County Attorney
~ (Title)
€
~
x
t .
~
F
~ SWORN to and subscribed before me
~ .
~ this ~ day of , L9',~•~:~,l~
~ • ~ V • . r' • ~ • ' .
~ Notary Publi~c State of Flori a at Larg~ f
~ My Commission Expires : /-'a-/~ 76
~ .
THIf INS7P.UMSE'1T WA~ /REPARED RY • -
' RALPH B. WILSON. ST. L!JC1~ C'~t. "T1I A~
€ C[f~~o7iant~SF F?_ PIERGE_ FLUii~C)A J 1t ACA