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HomeMy WebLinkAbout0056 ~ . ~ . ~G Nrnrzc~ OF L.iEN ~ ; 3 STA'T~: OF FLORZDA • ~ COUNTY OF ST. LUCXE ~ ~ ~ NOTICE xs her~by given tha~ pursuant to the provision~~. of ~ Chapter 65-2I81, Laws of Florida, Acts af 196~, the Board of County . C~mmi.ssioners o~ St. Lucie Cvunty, Florida, c~.aims a lien in the ~ amot~nt of TWO Hundred Seventy-.four and 29/100 ~ ~ : 2740 29 ) Dollars_ ag~inst any real or ger~onal property ~ ~ or interest t,ierein presen~ly ~e3.d or aft~r a,cquired by _ - - • • . I ~ ~oosevelt Walker ' Qf•-~ 1~618 Avenue K, Fort Pierce, Florida ~ (Sndig~nt or:~Recipient) , (Addresaj - for ~r.oney directly spent by St. Lucie County for the c~re, hosgital-- ~ ization, sustenance or maintenance of-sai3 Indign~t or Recypient - of welfare assistance, as follAws: ~ . - . . - - _ ' i - . f : Hospital: Fort Pi.erce Memorial ~ - y~. _ ; - Date Admitted: 3/15/75 s . ~ _ t E - - Date Discharged: 3/l.8/75 - - ~ Number of Days : 3='~ - at $ g1. 43 per day = $ 274. 29 ~ ; - _ - . ~ - Less Credits , None ~ - ~ - - ~ 274. 29 _ ~ ~ , : _ Amount of Lien - ~ = i: ~ , _ - - . . ` Dated at Fort Pierce, Florida, this= ~ day of _ • F~ " . . May , 19 75 . - • . . ~ t s ~,y {t~~:~ ~ . ~~L++~~~~- ~ . _ (Signature) _ . . - n~~;-t,_f' i'3.tA~ L~ - . County ht~orney - ~ :j _ ~-t " - • " `3 - ~ _l ~ 5~, (Title) ~ ~ - - _ v,~rv~.,~7i~~ - _ _ ~ SWDRN to and sn2iscribed before ane - ; _ _ - _ ` - this ~ ~ day of , 19~. . i i• i ~ - ' ~ ~ ~ ~ - ~ - ~ t _ - Y_ ` ' ~ - ' " . _ ' . ~ . . , . ' _ _ . ` ~~`~c d~c~ - ~ - _ ~ . _ . , Notar PubZic State of Florida t Large '`j;`--- . Y ~~;~~rr,,~;.~.t:~ _ . - f ? - - f ~ ~s ~ ~ , . My Commission Expires - ' ~ = ;s;: _ - - • . :.;1.,•.. _ . ~ i' •l s i i.y•. . _ _ - = ti ~ ~ i,.F ~ f,' = - - ~ ~ . ~ . ~ lli. - . . - . . - , . :.-~'J ~+..1~5: - . ' _ _ . _ _ 2~ - . * y'~~ . a ~,~s~~' ' - - ''tl.•~'•,.N ~-j? *,F'3r-~ . - T}ils INSTRI~l•iE!QT Oti'AS PRE?AR~D. BY 'i~;+~`~••~'~'•-::-'; ' RALPFi B. ViIL.SON, ST. LjJCIc_ ~OUNTY ~`''i•C'"'t_i.~_•~`.+!' '~~j(~~~ ~ ~ . Cf'~UR7HOUSE, Fi'. PIERC~, FLOr21DA .