HomeMy WebLinkAbout1279 4~~?38$ .
NOTICE OF LIEN
STATE OF FLORIDA
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 St. Lucie County, Florida, claims a lien in the
amount of One Thousand Seven Hundred Ej,gh~y-two and 25/100's
1,782.25 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
up„~_H~.ri~ pf 507 N. 12th St. , 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
Date Admitted: 7/4/79
Date Discharged: 7/14/79
actual bill
Number of Days: to at $ per day = $1,782.25 t
Less Credits none
1,782.25
j - Amount of Lien $
E
€ p
Dated at Fort Pierce, Florida, this A ~ day of
(YC~~-~t-? 19 7
(Signatu )
~ COUNTY ATTORNEY
(Title)
,919 OCT 12 aid .Q' O7
FI~EO axe Fcce~~~.~~
S ROGER
P017RASA
SWORN to and subscribed before me
~ CLERK CIR+".Uit Cl1UR
Ri_COROV~pir'G - -
this ~ day of m~~~ 19 79
r
46238
Notary Public State of Flor' a at Large
My Commission Expires:
ibis instrument was prepared by
LEYI(1 1.:,L.,:~.~
s St. Lucie Co:my, I,uR~dlLl•3ilon ~ ao~K318 Pa~E~.274
Fort Pierce, tlorida j