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STATE OF' FLORIDA
FLORIDA INDUSTRIAL COMMISSION
TALLAHASSEE Account No._~~~l:!L..~_
~OTICE OF TAX LIEN Lif:n No,_____Xt-:-359..___
L~ 0 P A. R D Y
I'u r~uali t tot he prnvbions of ~t'('t ion 113, }:"l (;~) (a), Florida SUlt ute,..;, known a~ the Florida Unemploy.
11H'llt Comp"'li:-;ati.m law, !1otiee is herpl).\' gi\-en that there have l){>e!1 assessed, pursuant to the pt'lwisions of
:;aid law, ag-ainst
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Ti A. Colonial ~sta.ura.nt and Package Store
P. c. ..Eax. }42, J"t..._E:i.erc.~lnridA
an ""lIlp!oycr" liahle for the paynwnt of contlibutiong to the l'l1l>mploymcnt Compensation FII110 of Florida,
pun;uant to lhe provi,'iions of said law, the sum of $ __ 3Q5,.98 . covering the follow:ng contributions,
iatl'rt.'st ami p{>naltil's. which after demand for payment thereof remain unpaio, and that by "iI'tue of the
ah(,\'e mentiolll'o law the amount of ~lid contributions (taxes), together with penalties, interest, and t"Ost~
that may accrue in addition thereto, constitute a lien in fa\'or of Florida Industrilll Commission upon the
title to and intl'rest, whether leI'al 01' equitable, in any I'eal property, chattels n>al, or personal prope1.:jy of
said employ('r,
Periods for which contributions, interest, and penalties have been assessed, and the amounts thereof, are
as follows:
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1_ INTERt8T THROUGIL
8-31-61
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PERIOD
CONTRIBUTION.
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\\'IT:\E:-;S TilE OFFICIAL SEAL OF TIlE FLOHIDA I!\Dl'STmAL CO~nlISSIOl'\ :md the hand (jf
the Ch,\irman thereuf, at T311f{h~::!s€~, Florida, this 8 _ day of. _ n~],rt.~m.Wx
, A,D, 19 61.
SEAL
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Brown ~ Cha;m","
Florida Industrial Commi"sion
A. Worley
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