HomeMy WebLinkAbout0858 4:3•5?t~70
NOTICE OF LIEN
STATE OF FLORIDF. .
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 5t. Lucie County, Florida, claims~a lien in the
amount of Seven Hundred Sixteen and no/100's
716.00
) Dollars against any real or personal property
or in~erest therein presently held or after acquired by
Paul Jones Of 1305 N. 15th St., Ft. Pierce, FL
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
iza"tion, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
Hospital: Lawnwood Medical Center
12/29/78
Date Admitted-
Date Discharged: 1/2/79 -
Number of Days: 4 at $ 1Z9.00 per day = $ 716.00
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I Less ~Credits none
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's Amount of Lien $ 716.00
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s Dated at Fort Pierce, Florida, this .ZL ~ day of
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~ • . 19..,~.
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~ (Signatur ) t
County Att ~~y
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~ (Title)
~ . •?=COR~ED
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~ SWORN to and subscribed before me '
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~ this .2~ day of , 19~.
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~ Notary Public State of Florida at ,~e
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~ My Commission Expires: / `1-/-~oL ` '
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~ This insinxnent was p?epored by ~ :
~ LEVi7T AG1.1~15
~ SI. Lucie Ca.nty, E.:::•~~n~~r~aria, aid3. • B00K R~
s Foh Pierce, F1o~da ~w v
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