HomeMy WebLinkAbout0768 NOTICE OF LIEN '
1
502336 -
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 Thirty Eight Hundred and Eighty-Seven Dollars & Five Cents
3,887.05 ) Dollars against any real or personal property
or interest therein presently held or after acquired by
Tom White of 1702 Juanitet Ave. Ft. Pierce, F1, 33+50 -
(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- Laxnxood Med~,cal Center
Date Admitted: 7/4/80
Date Discharged:7/31/80
Number of Days: 17 at $..2.28.65 per day = $ ~ _887.05
Less Credits 21one
Amount of Lien $ z~RS?~a5
! -
r
Dated at Fort Pierce, Florida, this (a ~ day of
~
C#- 198 0
(Signature
COUNTY ATTORNEY
(Title)
^s:
- ~ 19.0 C!'' -7 A!; ~
SbiO~ .`7dd subscribed before me
A ',.,z ~ Si.lUClf CG;fHiY.ft A.
~}l~s• , da - of ~ C_:~? , 1950 ~ RGGERFQITRAS
y Ct.£nK CfRCs11T CCilRT -
~ ~ • ~r 502336
. ~ _ Q.atic ~c~x. ;
E'.
~~•{`~1ots}~;~'~iilic State of F1 rida Large
My• Commission Expires: ~ ~ ~ '
i
This ins!rur.:nt vras pr^~a?ed by
• ti. facie Co.nty,'A..:i::„i.i.atapn 3;:i3. ~ 8~3~ P~E ~V
f crf Fierce, Florida
- - }~rR
-
_ ,