HomeMy WebLinkAbout1921 • . I• . . ~ 1. • ~ ~ •
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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 S t. Lucie County, Florida, claims a lien in the
amOUnt of Four Hundred Sixteen and 10/100's
416.10 ) Dollars against any real or personal property or
interest therein presently held or after acquired by
(Name of
Martha Sams Of 106 Bedford Dr., Ft. Pierce, FL
Indigent or Recipient) (Address)
for money directly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Willie Sams (expired) ,
spouse Of said Martha Sams
(Relationship)
as follows:
Hospital: Lawnwood Medical Center
Date Admitted• 9/10/79
Date Discharged: 9/12/79
Number of Days: 2 at $208.0 per day = $ 416.10
Less Credits none
Amount of Lien $ 416.10
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~ Dated at Fort Pierce, Florida, this ~ ~ day of r It( l~l.(
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(Sign tur )
COUNTY ORNEY
(Title) 44isss4
SWORN to and subscribed before me ~`3:9 i,~'~ 2~
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this ~ day of , ~9 79 sT.~uat C~;;9TY•F~ A.
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My Commission Expires _~"'=t~'~~'~~ ;r= St y
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1918
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