HomeMy WebLinkAbout2635F~nm Fli. Il~ 1~ UG r. .: 1 ~1I1
STATE OF FLORIDA
FLORIDA INDUSTRIAL COMMISSION
TALLAHASSF,E
NOTICI•: OF TAI" LIEN
o. F. 52 r~>;sE 5 i ~.
RO"K
ST. ± !)CIE f_,iI)t~T~. Fl A.
Lien No. i"I=~
I'tu•suant to the hro\•isions of ~ectior ~[ 1:3.1:! (:3) (a); Florida Statutes, kno~\•-1 as the Florida linentl-lo~•-
nusnt Coml-ensation la\\•, notice is hereby given that them have i-een assessed, pursuant to the 1n•ovisions of
said la\\•, against ~3.~Y~a--~ni.th--_T~A~ Y~tl~e Smith General Contz~t.Q~_
2$21 rI Indi~ll~i][ar Drive Ft,_ Pi eree,~ F i nri~ -_-- -_-_--
an "emplm•er" liable for the payment of contributions to the C;nemployment Compensation Fund of Florida,
pursuant to the provisions of sai-1 la\\~, the stair of $ _-~7~64_ - - --covering ti-e follo\\•ing contributions,
interest and penalties, \\~hich after demand fur pa}'-nent thereof remain unpaid, .-nd that by virtue of the
above mentioned law the amount of said contributions {taxes), to„ether vv~ith pen;dties, interest, and costs
that ma\- accrue in addition thereto, constitute a lien in fli\~or of hlo-•ida Industrial Commission upon the
title to and interera, whether Let,*al or equitable, in and- real 1-roltert~', c•hatt-~ls r.~al, ur liersunal property- of
said employer.
Periods for \\~hich contribution:;, interest, and penalt-es ha\•e been assessed, and the amounts thereof, are
as folluvv>:
•. '~:t~'ITi~E~S''IHI; OFFICIAL SI?AL OF TIII: Fl.nt,[I)A
the Chairman thereof, 'at Tallahassee, Florida, this __ 7
SF.tiL
- ,. ~~"
. ,-ry __
_, : , . - .
-- _ ._
'' ~i ~ ~ ~ _ _ A _ -
INTEREST THROUGH
PERIOD CONTRIBUTIONS 11 X30 ~^ PENALTIES
-- - -- --_ --- - ------- -------
I
2nd carter 1 1 6_ ------~ - -- -~
~ ra tini-ter 1 1 142 3 4 -_--5-
--~-
2nd. Quarter 1 2 Ol 4 6 0~ _L 1vG
.~;~, -~
11-~~85
IN ~ •cI j0 RECORDED
--~-~t-d 300K
i9sz oEe 2i AH io: 21
INllt'~>'I'}.IAL Ct)~i~IISSIO\ and the hand of
ciao of__ DeQetaber_-- _, , A.T;. 1n__~'2.
A. 4lorley Brown Chau•man
Florida Industrial Commission
ROGER POITRQS, CLERK
ST. LUCIE COUHTI', FLORIDA
~ tom;
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