HomeMy WebLinkAbout0454 - - . . ,E,
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' NOTICE 0~ LISN ~
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ST~1TS QF FI+ORIDA ~ . .
COUNTY OF ST. LtIC~B ~ ~ _ . .
NOTICE ie hereby given that pursuant to the provisione of
Chapter 65-2181, Lawa of Florida, Acts~ of 1965, the Board of County
Commisaioners of St. I,ucie County, Florida, clafms a lien in the
amount of Z'~?enty-six Hundred Ninety-seven and Y2/100
.2697.12 ) Dollars against any real or peracnal property or -
interest therein preeently held or after acquired by
(Name of
Katherine Johnson pf 7503 Georges Rd., Fort Pierce, Florida
Indigent or Recipient) (Addresa)
for money directly spent by St. Lucie County for the care, hospital- ~
ization, austenance or maintenance of said Indigent or Recipient '
of welfare assistance, as follows:
~ 8ospital: Fort Pierce Memarial _
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Date Admitted: 5/16/76
Date Discharged: 6/9/76 ~ -
Number of Days: 24 at $ 112.38 per day= $ 2697.12
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Less credits None
Amount of Lien $ 2697.12
DATED at Fort Pierce, Florida, this .~i~ day of
June , 19 .
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CtE~K C~aCWt Si ature
,F~~yR~ JcqtFlEO ~ ~
~!N 2~ 21 aH ~~i 3r~Q302 County Attorney
(Title)
SWORN to and subscribed before me
thfs day of , 19~. ~
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: Notary Pub2fc State of F rida at L~i~ge~'
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L 1Ky Co~mission Expires s /--2/- ~ . ~
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~ THlS ItSS'tRU~4F.•:T \4AS PR[PRRED ~Y ~'~~'tl~~•~•,.. ~ O R A -
RALPH B. YIIL50?1. ~T. L~.C:' C':U~:TY 60Q~/~
COURrNOUSt. FT. PIEi=cC~. FLGR1aA ~ "'r V~CE ~t~
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