HomeMy WebLinkAbout0170 _ i
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NOTICE OF LIEN
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STATS OF FLORIDA •
COUNR~'Y OF ST. LUCIB ~
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~ NOTICE_is hereby qiven that~pursuant to the proviaions of
Chapter 65-218I. Laws of Florida, Acts of 1965, the Hoard of County
Ca~nniesioners oF St. Lucie County, FZorida, claims a lien in the
amount of Five 8undred and 28/100 1 -
'~~•28 ) Dollars against any reat or personal property or
interest therein presently held or.after acquired by
~ (Name of
' of i~ R~Y d9M* Ft p~
o,-~~, lorida
Indigent or Recipient (Addres~ (Oranqe Ave. Ext)
for money directly spent by S t. Lucie County for~the care, hospital-
s
ization, sustenance or maintenance of John Lee Davis
Minor _so~_ of said ~ Homer Davis
(Relationship) ~ = =
as follaws: ~
Hospital: Fort Pierce Me.moriai
Date Admitted: 6/4/77
Date Discharged: ~ 6~8~~~
Number of Days:~_ at $ ~ 2S _ n~per day ~ $ ~,nn ~A
.
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- Less Credits None
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~ Amount of Lien $ ~nn _ 2st
~ Datsd at Fort Pierce, Florida, this day of August , •
19 ' .
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- IIOCER POITItAi . ~
~ CtFRR ClRCIil~ COUR1 ~Q ~
aF~;tf'~ YERIFIECr......d~i 3'76~.98
~I~i Z3 Z OS ~ ~~7 ~ (Si nature)
County Attorney
_ (Title)
SWORN to and subscribed before me
~ this di2 t day of 'f " , ~9~ . ~L__.
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Notary Public State of Florfda ue~' ~i ~'l ~
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!•ij Cornr.~ission Expires: -'~~R~.,,r, r
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THis INSTRUHEr'T ~I14 AREP.~AED 9Y . ~t'~ „
RALPH B. WIL_£0~7. ST. LU~?~ C:..UrIT1r •~~~~~t~It1 -
CGURTHOUSt, FT. P(ERGE. FLCK:D/l •
60~ ~ ti P116E •