HomeMy WebLinkAbout0982 394i 395 ,
NOTICE OF LIEN i
F
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STATE OF FLORIDA -
COUNTY OF ST. LUCIE
NOTI~E is hereby given that pursuant to the provisio~s of
Chapter 65-2181, Laws of Florida, AGts of 1965, the Board of County
.
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Twelve Hundred Fifty and 70/100's
1250.70
) Dollars against any real.or personal property
or interest therein presently held or after acquired by .
~ I,ewis Sikes of 1212 Ave. D, Ft. Pierce, FL
(Indigent or Recipient) (Address) .
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of said Indignet or Recipient
of welfare assistance, as follows:
Hospital: Ft. Pierce Memorial
Date Admitted: 11/15/77
Date Discharged: 11/25/77
Number of Days: 10 at $125.07 per day = $ 1250.70
~ Less Credits none
f -
; Amount of Lien $ 1250.70
~
~ Dated at Fort Pierce, Florida, this ~ day of
~ 19 78
, ~
~ - ~ ~ J ~ ~
(Signatu e) ~
~ ~tuity Attorney
(Title)
~
~
~ F ~to ~no ~ccoaoto
SWORN to and subscribed before me S~.lUC1E COUNTr FU
x R4CER P81TR?S
~ _ C± E?K +;•3CU1T COtlR
78 - ~ ~-:~iEi
~ this 9th day of ~ , 19 '
~ ~la~ 10 I 32 PH'1fl
~
~ ~ .
~ - .
~ Notary Public State of Flori at Lar
~ • ~
~~(~T .g 3~ .
_
~ Jaruiary 21, 198~ ~-;s; ; " ,
My Commission Expires:
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~ ~rdUypa ~J~ ~i' , ' ~ ' t
riG~ilR.l a~j ~
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Devitt J. ~c~aans 0 R ~ ~
~ . 60~K
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Administratinn Bldg. , l~~om 106 "
~ Ft. Pieroe, Florida , • :
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