HomeMy WebLinkAbout0448 :=r . ~
. ~ ~ ~
3~~96
~ . NOTICB OL~' LISN
.
STATS OF FL4RIDA '
CdIJNTY OF ST. LUCIS '
NOTICS is hareby qiven that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, ActB of 1965, the Board of County
Conimiasioners of St. Lucie County, Flori~a, claiiae a lien in the
amount of ~~rteen Hunared Seventy-five and 77/100
1375.77 ) Dollars aqainat any real or personal property or ~
interest therein presently held or after acquired by
~ _ . (Name of
Johnnie AZlen pf 510 Means Ct., Fort Pierce, Florida
Indigent or Recipient) (Addrees)
for money directly spent by St. Lucie County for tbe care, hospital-
ization, sustenance or maintenance of said Indigent or Recipient '
of welfare assistance, as followe;
~ Hospital: Fort Pierce Memorial ,
Date Admitted: 4/10/'77 ~
Date Discharged: 4/21/77 _ •
Number of Days: 11 at $ 125.07 p~r day= ~ 1375.77
Lesa credits None
Amount of Lien $ 1375.77
DATED at Fort Pierce, Florida, this _,,Z ~ day of r
June , 19 77 .
~ IE C~~W 2 A~
A. - .
ROOER~ (Si nature)
at,EaK G~aCU
ofrfJttll V£P.iF1E0~~+~'
19 AM County Attorney
~1 Z~ r~~s (Titlej -
3
SWORN to and subscribed before me
this day of ~ , 29~~
,
. ~ fi ~ j, ~ R
~ _ ~ ~ _ - go~K 27b PAGE 448
Notary Public 3tate of F orida at ~,~CYige:
~ ~S•'~ _
T ~ ~ T j . •
1 M ~ - " Y
7V ~t':f~~.'
My Commission Expires: / v,.at~f{
: f ~
THIS iNSTPUME`2T WAS PR~PATIFD pY ~'~'i;t~
, RALPH B. WILSON. ST. Lt~~~~ COUNI'Y '
COURTHOUSE, FT. p1ERGE, FLORIDA