HomeMy WebLinkAbout1924 4~655'~
NOTICE OF LIEN ,
STATE OF FLORIDA
COUNTY OF ST. LUCIE
NOTICE is hereby given that pursuant to the provisions of
Chapter 65-2161, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
amount of Three Thousand Forty-three and no/100's
3,043.00 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Sara Cowans Of 1004 No. 14th 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: 6/7/79
s
Date Discharged:i6/~/~g
Number of Days: 17 at $ 179.00 per day = $3,043.00
Less Credits none
Amount of Lien $~.Q43.00
Dated at Fort Pierce, Florida, this ~ day of
)tom 19
~
2.
i
(Signatu ej
i
COUNTY ATTORNEY
s
(Title)
4655`7
SWORN to and subscribed before me
FILED ~ hC' Fti GG: ~i J
D / ST. LUCIE COllIFT Y. Fl
this day of RaGER POFTRnS
~/i~ , 19 ~ 9 CIEfiFt C;sCJIT Cu R
< d
Notary Public State of Florida a ~'aYge~~
`r
My Commission Expires : a~-~~
-
This irstn;:nc~t vra, rr-^~z: ed by ' -
. r ~
L c. i i{ 1
3~:~X