HomeMy WebLinkAbout2977 NOTICE OF LIEN ; f`
~ ` +t
~ . ,
` STA'I'E OF FLORIDA a3:~'~ ~~s
~
COUNTY OF ST. LUCIE
= NOTICE is hPreby given that pursuant ta the~provisiocis of
Chapter 65-2181, Laws o.f Florida, Acts~'of-1965, the Board of County
Commissioners of St. L~ucie County, Florida, claims a lien in the
~ _ ' .
~
_ ~ amount of Z'welve Hundrecl Eighty and 02/100
~
~ .
1280.02 ) Dollars against any real or personal property
~ ' '
' or interest therein presently held or after acquired by
~ . - -
~
Jackie Ricks ~ of 108 Essex Dr., Ft, pierce, Florida
~ , ( Indigent or Recipient) (Adc~ress)
~ for money directly spent by St. Lucie County for the care, hospital-
~ - -
. ization, sustenance or maintenance of said Indignet or Recipient -
~ .
of welfa-re assistance, as foliows:
r -
Hospital: Fort Pierce Memorial ~
~ 4 8 75 ~
Date Admitted: ~ ~ ' ~
r
4/22/75.
Date Discharged:
~ _ -
; -
~ . Number of Days:. 14 at $ 91.43 ~r day = $ 1280.02
F `
r .
~ ~ Less Credits None
:
~
_ - - _ Amount of Lsen ~ 1280.02
_
~ -
~ - _ -
3 Dat~d at Fort Pierce, Florida, this ~r~ ~ day of
_ _ . _
~
, _ .
i ~ June ~ 19 75 . -
-
_ . .
, . - - (Siyn ~rej .
~ County Attorney
(Title) -
-
.
i, _ p _ :
" SWORN to and snb"scribed before me ~~~fo,~~ ~ f
~ ~ - ~~t ieM~1
~~rir~t
-this day of ~ , 19~J _ l1Ei~~ -
- _ - . ~ $
.
~
~
_ ~ _ ~ ~
Notary P blic State of Florida Large.-; - -
- : _ : _ . - 31'~166 -
~~:.r~
~ My Commission Expires : a~: ~~;j-{
! - 'a. •i~i:~ :
~ _ . - r;. -
~il t ' -s , C ~ s~=~ .
f
~ . : ~ i~ _
; ~ f-
! TH15 _INSTRUN~NT \YAS PREPARED aY - ~ ~ . ,.~+f ~ ~ ~
RALPH B. LYILSON. ST. L~JCIE COUNTY =::t`',- ~ u
COURTHOUSE. FT. F'IERCE. FLORi:.:> - FlO~K~~ ~~i~~jV~3
t
.