HomeMy WebLinkAbout0361 . .
~ 4~6134
NOTiCE OF LIEN
STATE OF FLORIDA .
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2181, Laws of Florida, Acts of 1955, the Board o# County
Canmissioners of St. Lucie County, Floridn, claims a lien in the
amount of •TWO Thousand One Hundred Forty-eiqht and no/100's
2148.00
) Dollars against any real or personal property or
interest therein presently held or after acquired by vlysess
~ ~ (Name of
McCoy . ~f 322 N. llth St., Ft. Pierce, FL
Indigent or Recipient) (Address)
for money direc~iy spent b.y St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Tonya McCoy ~ ~
daughter of said Olysess McCoy ~ -
(Relationship) .
as follaws: .
Hospital: Lawnwood Medical Center ~
Date Admitted: 5/17/78~
6/22/78
Date Discharged:
Number of Days: 12 at $ 179.00 per day = $ 2,148.00
~
I . ~ I,ess Credits none .
~ - 2,148.00
; Amount of Lien $ -
~ Dated at Fort Pierce, Florida, this 28th day of November ,
19,~,_. .
. ~
(Sign tur )
County A ney
(Title) ~
F1Lr.0 ~.ND RECORDEQ~
- L'~C'E C^UNT'f. FLA.~
~ SWORN to and subscribed before me ~'r'~'~'
4`~6134
~ this 28th day of November , ~97~,_• . _ 5 ~ 9 :
; ,
~ • ~ ~ ' ~ ~
~ ~ ~ ..~1 ,•t4 - ' ..,r.~{;~ .
~ Notary Public State of Florida at Larg~. . CL~RK ~.f
.
My Commission Expires: January 21,1982- Ly
~ J- • . .
~ wos .Pr~?cred bY ~ ' ~ ~ ~ . • '
~ This instrument . , -
LLv i[1 1. l+L AM5
~ 5f. Luue Co.nty~ N•~i~u.~~.t. a;:~n 3td}
Fori Fiere, ,londa BdG~.~~ ~~~E
~ . .
~ - - _
r ~ i~ = , ~ `f ~ ~
~u- _ . _