HomeMy WebLinkAbout0362 ~ ~ 4~6135
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 1965, the Board of County
Commissioners of St. Lucie County. Florida, claims a lien in tl~e
amOUnt of Seven Hundred Sixteen and no/100's
716.00 Dollars against any real or personal property or
interest therein presently held or after acquired by Thomas
(Name o f
Shannon pf 272 5olida Circle, Port St. Lucie, FL
Indigent or Recipient) (Address~ .
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Christooher Shannon .
son - of said Thomas Sh-annon
(Relationship) ~
as follaws:
Hospital: L.awnwoed Medical Center
Date Admitted: 9/2/78
Date Discharged: 9~6~78
Number of Days: 4 at $179.00 per day = $ 716.00
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~ Less Credits '~°n~
€ 716.00
` Amount of Lien _ $ -
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~ Dated at Fort Pierce, Florida, this 28th day of November ,
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19 7s . .
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(Sign u )
Count ttorn~y
' (Title) _
~ - ~ILED t•~~ RECORDED" .
~~~r;~ C ~Ul;TY. FLA:
~ ' ~ - ' . : ~ C. ; c [i
~ SWORN to and subscribed before me .
~ ~ 4~6135
this ZBth day of November ~~9 78 ~ - t18 S~ 9• ~ ~
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a=.X,(.K . :
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Notary Public State of Florida t Largea:
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~ My Commission Expires: January 21,1982_ , ~
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This insirvment wos prepored by ,
?.cV{iT J. ACAMS ~ . ~ R 299 P~ 36Z
St. lutie Co..nty, /lcmin~stratwn Bldg: BOGX
Fort Pierce, tlorido -
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