HomeMy WebLinkAbout0367 - 4~6?140
NOTICE OF LIEN
STATE OF FLORIDA .
COUNTY 4F ST, LUCIE
NOTICE is hereby given that pursuanC to~the provisions of
Chapter 65-2181, Laws of Florida, Acts of 19b5, the Board of County
Canmissioners of St. Lucie County, Florida, claims a 1£en in the
amount of ~Seven Hundred ,~ixt`_r3pn ~n~l ~~,3,~,p!„~
716.00 ) Dollars against any real or personal property or
' interest ~herein presently held or after ace~uired by
(Name of
Nattie HnwAra Of 1209 N. 31st St., Ft. Pierce, FL
Indigent or Recipient) (Addres~ -
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance Of _Eli2abeth Hnt.tarA .
dauqhter of said Ha.ttie Howard
(Relationship)
as follaws: ~ ~
Hospital : Lav~nwood Metj _ Center
~Date Admitted: 8/5/78
Date Discharged: 8~9~78
Number of Days: 4 at $179.00 per day = $ 716.Ob
Less Credits none
Amount of Lien $~16.00 ~
Dated at Fort Pierce, Florida, this 2R,.~, day of November
•
19 78 .
- (Sxgn ture
- County Attorney
~ (Titlej
~~LED i.P~C. RECOROED
SWORN to and subscribed be fore me `"r ~ U'''TY. ~~-r•.
. . . -rr -
28th November 4~6140
this day of ,~97s .
-_'7$ . C~LC 5 1~M 9: I3
. ~ } - .
- . j • , .
Notary Public State of Fiori a at Large ; ~ ~ . . Cl.~fi~ ~ . _ ~
' - - ~ ' . - - -
My COmmission Expires:_January 21,1952
This instrument was prepored by ~ ~ -
~.EYlTT J. AGAMS '
St. lucie Co:nty, Ad~ninistrofion Bldg~ ~ i~
Fort Pierce, t bri<ia ~ ~ ~
~ _ ~ - - . . .`~.a~ -~r
~ _
$ . a~. . - - -