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. STATE OF FLORIDA
T, IUC~E COUNTY. FIA.
FLORIDA INDUSTRIAL COMNIISSIOI~,
• TALLAHASSEB- Amount No. ~~7 D
NOTICE OF TAX LIEN ~ Lien No. t=Tls,1-
' J)ZOtAIlDY ~ -
Pursuant to the provisions of Section 443.1b _{3) (a), Florida Statutes, lckown as the Florida Unemploy-
ment Compensation law, notice is hereby given that there have been assessed, pursuant to the provisions of
said law, against JoLn R. 'l~os~].inaan and 1s II.
. ? • Ool+on3,a1 11Nstaurant and >~lca~ Mora
p. O. BnY. ~Qi, ?C. ~*~~ _ rim
an "employer' liable for the payment Of contributions M the Unemployment Compensation Fund of Florida,
pursuant to the provisions of said law, the sum of ~ 4.31-covering the following contributions,
interest and penalties, which after demand for payment thereof remain unpaid, and that by virtue of the
above mentioned law the amount of said contributions (taxes), together with penalties, interest. and costs
that may accrue in addition thereto, constitute a lien in favor of Florida Industrial Commission upon the
.title to and interest, whether legal or equitable, in any real property, chattels real, or personal property of
said employer.
Periods for which contributions, interest, and penalties have been assessed, and the amounts thereof, are
as follows
rER100
CONTRIRUTtONf INTEREfT TNROUON
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1961 JAN 3 AM 9:23
ST. LU CIE C UNTY, F 0 0
TOTAL JF
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WITNESS THE OFFICIAL SEAL OF THE FLORIDA INDUSTRIAL COMMISSION and the hand of
the Chstirtu'i4n thereof, at Tallahassee, Florida, this~_day of ~~'y , A.D. 19~.. _
SEAZ ~ ..
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• :_ •. YorLy Dravn Chairman
Florida Industrial Commission