HomeMy WebLinkAbout0385 ~ .4~6158
NOTICE OF LIEN
STATE OF FLORIDA
COUNTY OF ST. LUCIE ~
NOTICE is hereby given that pursuant to the.provisions of .
Chapter 65-218I, Laws of Florida, Acts of 1~965, the Board of County .
Commissioners of St. Lucie County, Florida, claims a~ien in the
amount Of Seven Hundred ~~teen an~j n/1Q~'A
~16.00 ) Dollars against any real or personal~property
or interest therein presently held or after acquired by
Hnrar_p Wa 1 1 aeE+ ~f 7 f,l d sa;~ G' gf~_p3p,r^° ~ PL
(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: Lawnwood Medical Center -
Date Admitted: 9/27/78 .
Date Discharged: l0/-1/78
Number of Days: 4 at $ i~q_nn per day = $~~pp
Less Credits none -
~ Amount of Lien $ ~16.00
; .
i
~ 28th
~ Dated at Fort Pierce, Florida, this day of
~ November ~ lg 78 ~ ~
~
• (Signature) ~
County Attorn
(Title) ~
~ F~:.EC^ U COR~f
~ -
. - ~
. ' : 4~~58
=SWORN to and subscribed before me
~r-t' S AM 9 : 15
~ this 28th day of November 1978
~ . ' 9'
~ . . - -
~ . r~ '~~K ~ J
3 , .
Notary Public State of Flor a at Large
. ` ,
~ My Commission Expires: January 21,1982 '
:k.
- r , .
This inst?ument was prepared bjl - ' ' ~ '
~E~~~~ A~.~s o R 299 385
~ St. Lutie Ca,nsy, Adm~nistration 3~dg. , ~ 8~~~ ~a«
Fort Pierce, tbrida `
' • ~
~
- - ~ .~~.~~..a~`~ _
_ ~ ;
_ ~'~:z~"_,y
' . .