HomeMy WebLinkAbout0848 . .
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NOTICE OF LIEN
STATE OF FLORIDA .
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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
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Commissioners of St. Lucie County, Florida, claims a lien in the ~
amoUnt oF Two Thousand One Hundred Forty-eight and no/1.00's ~
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2,148.00
) Dollars against any real or personal property
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or interest therein presently held or after acquired by
Perry Sallette pf Rt. 5, Box 731, 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 '
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of welfare assistance, as follows:
HOSpital: Lawnwood Medical Center
Date Admitted: 12/13/78
Date Discharged: 12/25/78
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Number of Days: 12 at $179.0o per day = $2.148.00 ;
! none
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Amount of Lien $2,148.00 ~
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$ y
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~ Dated at Fort Pierce, Florida, this i`~'~ day of
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~ •e 19~• ~ .
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~ - -(Signature) ~ '
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~ County Attorney
~ (Title) ` . Ty' _ .
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SWORN to and subscribed before me ' i ~ ; ' - ~ ~ : J6
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this aG day of . , 19~.
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~ Notary Public State of Florida at Large ?
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~ My Commission Expires - _ • ~
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~ This instrument was prepared by , . ' _
LEViTT 1. ADAMS - ~ _;t,;
' ,St. lucie Co.n: r, A.;~.;:n,.~. iJh0~1 C~~d3. • .
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