HomeMy WebLinkAbout1982 :
459111 c
NOTICE OF LIEN _ ~ .
STATE OF FLORIDA ~ ,
,
COUNTY CF ST. LUCIE
NOTICE is hereby given that pursuant to she provisions of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County,_ Florida,_clams alien in-the
amount of Bight Hundred Ninety-five and no/100'8
895.00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Wesley Jacobs Of 3004 Ave. L, 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
of welfare assistance, as follows: •
Hospital: Lawnwood Medical Center
6/8/79
Date Admitted:
Date Discharged: 6/13/79
j Number of Days: 5 at $ 179.00 per day = $ 895.00
f ~ none
Less Credits
I!
Amount of Lien $ 895.00
Dated at Fort Pierce, Florid this /5~ day of
19,1,x.
(Signatur)
COUNTY ATTORNEY
(Title)
1919SEPI7AlrJI~52
SWORN to and subscribed before me ff~, Q~
ST l~lE
COkUEMCTY fLA.
this ~ day of 19 7 9 . CLEF C~iRC~T
~ AS
Rr:CORO YERIFlFO
' _ 459111
Notary Public State of Florida t La
1 - L I
My Commission Expires : ;'~1 ~
C
This instrument was prepared by ~J ~ , . ,v4 '
~ r nwl~;
~i ~Y;
~EVliT f. AGAN?S i ~ ~'r•~ .
St. Lucie Count , Admuu~t~ot~on dtd
Y ~ `~r,, fir
je:iri,.:
fort Pierce, . bride ~
80DK