HomeMy WebLinkAbout0759 NOTICE OF LIEN SU,?~;~~?
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 Twenty Five Hundred and Fifteen Dollars and Fifteen Cents
2,515.25 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
H A 7. P ~ S i m n n O f 1„? 1 7 ~,y„eY j•„ • F+ _ P i P r r a _,,,E]^ 3 3
(Indigent or Recipient) (Address)
foi 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: Lavnvood Medical Center
Date Admittedi~~ F16/80 '
Date Discharged: ~/tR~p
Number of Days: 11 at $ 228.65 -per day = $2.515.15
Less Credits none
j Amount of Lien $ 2 + 515.15
t
~ (o ~ day of
Dated at Fort Pierce, Florida, this
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_ ~
(Signature)
COUNTY ATTORNEY
(Title)
~,'.r'~.~4'O~Ai?~'.~ind subscribed before me
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'~h b~ti % ~ day of ~ ~ 19g o '"POG~fi Poi ; P.~ ".•.t
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Notary Public State of orida at Large
My Commission Expires: ~
this irsi~vc.~^! vios by • .
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Fort Yrerte, i?orida ~
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