HomeMy WebLinkAbout1936 •
4-'6569
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 Forty and 25/100's
1,040.25 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
R1 a A -PVPdn Of 1j1s rC}arrlwiia St.~ sty piarco~ SL
(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:
i
Hospital: Lawnwood Medical Center ~
t
Date Admitted 6/29/79
7/4/79
Date Discharged: ,
t
s
Number of Days: 5 at $208.05 per day = $ 1,040.25
Less Credits none
Amount of Lien $ 1.040.25
Dated at Fort Pierce, Florida, this ~y day of
I
t
19
7~_.
(Signature
- COUNTY ORNEY
~ (Title)
'~i9 Pz~''~ 20 } ; 31
SWORN to and subscribed before me
FRED AKG F_(.~NuE?
SL LUCIE CO,"+TY.ft. A.
this ~ day of ~G~`GkL~ 'v' 19 79 ct_ERKCR COITRA i
8
. .
Notary Public State of Florida t Large
s
My Commission Expires : / - o~-~`(~y -
$ - -
This instn:mert was preporeJ by
;,t. lccie Lc.riy, t,....~.:~~,iroti;~n S~dg,
f ort Pierce, tiorida
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