HomeMy WebLinkAbout0382 ~ 4~i155
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 the .
amou~t Of One HLndred Seventy-nine an no,[].~0's_ _
179.00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
.~r~d~~latbis. ~f 284.2 N FQ~3 i~wT., Ft . D; erc~~ FT.
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
iza~ion, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Lawnwood Medical Center
.
Date Admitted: 9~24~~8
Date Discharged: 9/25/78
Number of Days: i at $ iy9_oo per day = $ i~4_oo
Less Credits none
'I Amount of Lien $ 179.00
I
, Dated at Fort Pierce, Florida, this 2$th day of
~
~ November 78
~ , 19 • \
~ (Signature)
Countv Attnr~X,
~ (Title)
n~~~ RECORDEO
.
~ c ^ ~U':TY. L...
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_ . ~ , - 'I'
SWORN to and subscribed before me 4;~6155
2sth November 78 [1r(; 5~ 9~ ~ 5 ~
this day of , 19 . g~~-
~ • - ' - -
~ • ~ ~ Ci.E it K • . " ~ _ ,
1 ~ , .
Notary ublic Stater of F1 ida at Large
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My Commission Expires: January 21,1982 ~
~ i~trument was p~ePored by
~ LEtiI'~i 1. ALJ~%~~~
~ Adm:ni~t:ai~~ d13~• ~ R ~VV ~ .
~Q Co~nty, tloriao ' B~CK
Fo~ Piecce, ~
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