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+ BTATB O! Fi~Q~IQA ST. LUCIE C~ltl ~ Y. FLA.
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TALLAHA88~ a~oeonnt Na. 903#4
NOTICE OF TA1[ IAN Lien N" 33T
Parsnant to the provisia~os od 8sotioa d4>i.16 (s) (a), lriorids Statutes, ]taowa as the !laid Unemploy-
ment Coanpaosation Lw, na~tios is Lee+eby :turn that tbecr haves been assersd, pm~suant ~ the provisions as
said Lw, asainst */,T~+~ ~ ~ ~:<+
3138 South llsasral >ri~aa-. !'t. ~ ?Sn{oe
as "emplayez'' liable far the payment of contrlattiaos ~ thrrUaeenpio~meat Compsnaatiun Fend o! Florida,
pursuant to the provisions of said lecw, tl~e sam ai ! '~• ~ eov~s the loDawin~ eontribntions,
interest and penalties, which attar demand for paymeat thereo~i rroaain unpaid, and flat by vfrtne of the
above mentioned taw the amount of said contributions (taus), to~ethar with penalties, inteseat, and aoeta
that may aoctoe in sddition therrtq eoastitue a lies is tavgr at PforWa )EadastrW C~oenmisskn apoa the
title to and interest. whether lepl or egaitabis„ is any real penperty, chattaL real, or personal property of
said employer.
Periods for which oontributiatu, Interest, and penalties Izave been asserssd, and the amouata thsreoi, are
as follows:
ruwo
coKrai~uTw~ utroearr rxwousM
131-
rww
8 A
r 1 96/
r 8 R Q,~
1st r 137 49 6 19 • (Ur F D~TR
r, f~ K
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t TOTAL ~ V7V ~ 17 ~ ,~~ "" ~ _ - . ~ r ,~
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WITNESS THE OFFICIAL REAL OF THE FLORIDA INDUSTRIAL COMMISSION and:.i~e'•hand• oi- `~ .
•,. r . ~ ~ ~.. . •,
the Chairman thereof, attested by the Secretary, at Tallahassee, Flori~this ~ ~ ~ • ~8y .of
-~ - lfebruaty - A.D.19~1,..
sl~I. •
chairman
Industrial Commission
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