HomeMy WebLinkAbout0380 426153
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 lie~ in the -
amount of Two Thousand One Hundred Forty-eight and no/100•s
2,148.00 ~ Dollars against any real or personal property
or interest therein presently held or after acquired by
Leroy Burqess pf 714 Cedar Place, 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 Indigent or Recipient
of welfare assistance, as follows: ~
~ Hospital: Lawnr+ood Medical Center
Date Admitted:
Date Discharged: 6/20/78
Number of Days: 12 at $ 179.00 Per day = $ 2.148.00
none
Less Credits -
. Amount of Lien $ 2,148.00
~
! '
! . .
~ Dated at Fort Pierce, Florida, this Z8th day of
~
~ ~ November , 19 78. \ -
(Signature)
' . ~ County Attorney .
(Title)
- FIl.ED AND RECORDED
~T LUC~E :,OUt~:T`!. Ft:A-'
. ;.~=~~~fl
~ 4~6153
SWORN to and subscribed before me
'7a O~C 5 AM 9: 15
this 28th day of November ~ 1g78 .
~ . ~
~ • _ . CLE~iK :.:i;~:,'Y.~G°.lr~T -
~ _ -
- Notary Public State of Fl ida at Larg,~.•'~ -
: ~ .
My Commission Expires: January 21,1982 -
.
This instriiment wos prepared bq ~
L~VIII J. AGAIVIS . .
~ - St. Luci@ Ca.nty, AJminutration Btd~s d R
fort Pierce, fb~~da i
_ v.~ :
- _-r~
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~ 1 .