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HomeMy WebLinkAbout0052 ~ ~ f C, NQTxCF O~` I,IEN ~ STA~'E OF FLORIDA ~(j~~~~ ~ CaU~d~Y OF ST. LUCIF ~ rt~J'~'IC7~ is h~reby givex~ tha~: pursuan:*. _to the proviaiori~ of ; Chap~er 65-?.181, ~ T.aws of Florida, Ac~s of 1965, the Board of Cou~ity • Commissione~s of St. Lucie County. Florida, ciaims a].ien ~.n the ; ~ . • ; ~ amount of Three Hundrea Sixty-fi.ve an~~72/100 ~ ~ - i . .(y ~b5.72 DoYlars against any real o~r persona2 property or interes~--th~rein -pPesently--held : ar - af~er- acQuired by . . L~ster Stewart _ of 2405 Avenue D. Fort ,~~rce. F]„~ ida (fndi~ent-or Re~ipient) - (Addressj _ ~ _ for money c~irectly spe~t bx S~. I~ucie Gauunty f~r the car~, hospita~- . - ~ - ization, sus~enance or maintena~ce of said Indic~net or Recigient - of .?lfare assistanc~, ~s follow~: - - - Hospital: Fo_rt Pierce~Memorial ~ . ~ - - Date Admittea: 2/24/75 ~ - _ Date Discharged: ~/~8/75 ~ ~ . • ~ ' i . . , - . - Number ~f Days: 4 at $ 91.43 per day = $ 365.72 • - _ Less Credits None - - . - ~ _ _ - - Amount of Lien $ 365.72 - ` . ` - - ~ _ _ ~ - i -Dated at Fart Pierc~, Florida, this day of - ~ _ May ~ i9 75 , _ ~ • . ~ ~ . _ ~ _ ' ~ . ' . . , ~ ~ (Sign tur.~e) _ - ' ~ County Attorney _ . (Titiej - fILE~ : RfCv3DE0 - ~ ST. LUC:C iOUkTY fLA. ~ _ - ROGi'Y ~'O+TRAS ~L - CtERk ~t?;.JIt Ct1URT ~ _ - RE~pR? ; = s.= p SWORft to and su~scicibed 'ne~ore me - ~ - M~~ ~9 - 8 56 bH '-7~ this day cf , 19~_. - - . ~ - r _ - - ~Q~~~3 . f/~ - . ' ~ - . _ ~,~':'~i.i~~j~~`~ ' " r Notary Public ~ State of Flcr_ida t Large•'`'."~~-~~:~1~:' a~- , _ ~ - • . ~~1 ry`„ • • : ~t~;3 . _ - - ` t ) s~.~ . ~ ~ t~.-• -~l~:., :~,s~~, My Commission Expires:_ -/-r~-/-~~:~`:~~.~G:~',~,r~?.Y~~:~S`--==~~ ~ ~ ` .`n~' - ~ ~ ~ < t'"s _ t~ f~,,, c s? ~ t; ,a; t - _ ' ~,t-rj s~` p~~.'S4# t~', - - . ; _ ~ Y 1e V i3 ~ !~.f i•''' ' . . _ , ~m.. _ . - - • - _ • 'e~" ~.~~•i ~ - _ = _ , " ' ~''r`• .~~i~s : F3 £ iF ~ , ~ THIS_ 1NS'~r':UfdF•J ~ ~`-•AS F~EP•'.?~ED E'~ : ',~~'%tlri~.,.,,,•,• , - RALPH S. ~F11L~'~:.`:. ~i. :-'~i';::_ C^v!_ tC~ _ - ~ _ COUR7tfOUS~, l=7'. Plt.tcCi:, FLORIDA ~ - ~o~ 2~ ~E~ ~ . . . _