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NOTICS OF LIEN •
STATE OF FLORIDA 1~~ "~+V
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COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provfsions 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
amOUnt of Two Thousand Six Hundred Eiqhty-five and no/100's
?,685.00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Robert Sheats Of 3109 Duban Terrace, Apt. A, Ft. Pferce, FL
(Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the rare, hospital-
ization, sustenance or maintenance of said Indigent or Recipient
of welfare assistance, as follows:
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- Hospital: Lawnwood Medical Center ~
Date Admitted: 5~8~79
Date Discharged: 5.~Z3.;
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~ Number of Days: 15 at $ 179.00 per day = $2,685.00
Less Credits none
~ Amount of Lien $ 2~~5~p~
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Dated at Fort Pierce, Florida, this ~ day of
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~ _ ~(JiL ~ , 19 7 9 .
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~9i9 -9 p;~ I: 23 signatu e) .
t LcoArnrtccr~~u . t
S~ LUCIE CO(;,yTY.iIA. ~ COONTY ATTORNEY t
ROGER POITP.kS •
CLERKCtRCU~TCOURT (Title) . '
~ • ~SE~CRD Y~HtFtr{~. - ~
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~ SWORN to and subscribed before me
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~ this C~ day of ~C , 19 79 ,
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¢ Notary Public State of Florida at Large r4 i
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My Commission Expires: ~ ' ~ ~ i
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