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• ROG.ER POIYR~~Sj Cl~rk ` , ~ ~Y~ . ~C~:. " , . .
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3TATE OF FLOI~IDA °
~ ' • FLORIDA INDUSTRIAL COI~~IN[ISSION ~
TALLAHA33EE Aa~onnt No ~
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NOTICE OF TAX LIEN L~a Na Z'~B2
Pnnuaat to the pro~vidoas of 9ection 443.ib (3) (a). Florids 3tatute~. knovPn as the•F'brids Unemploy ;
meat Competwtfaa~ Lw. notics is hereby given that there have been aeaeased. purswnt to the prov~aions oi ;
aatd Lw. a~inst •~t1~ti.~s • e. ll lrlnrida Ona~onrati~n~
h1.9 ~naie Hoa~d !'t. Pieicae. Flrori~? ;
sn "anployer" liable ior the psyment of contributions to the Unemployment Compeneation Fnnd o! Florlds. 3~~
pnrsuant to the proviaions o! uid lsw, the aum oi : coverin~ the iollovv~n~ contributlons.
intereat and penaltiea, ~vhich atter demand ior payment thereof remain napsid. and that by vtrtue oi the ;
sbove meationed law the amount of said contrlbutions (tauea). to~ether ~vith penaltiea. intereat, snd ooata ;
that m~y aocrue in ~ddition thereto, conatitute s lien in favor o! Florida Indt~sMal Commieaion upon the -
~ title to aad intereat, whether legal or equitable, in any real property, chsttela resl, or peraonal property oi
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said employer.
Perlods for which cantributions, interea~ and penaltiea have been asaeaaed, and the amounts thereoi. sre
as.follows:
, INT[II[{T TMIIOUOM
KRIOp CONTR1~11TION! r[NALTIp ' ~
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~ ~ WITNESS THE OFFICIAL 3EAL OF THE FI.ORIDA INDUSTRIAL COMMI3SION aad the hand of `
the C,hainn~a thereoi, st Tsllahaeaee, F1orlda, this day oi J~~ . A.D.19~ . !
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SEAL ' ~
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~ . . ; ~ . J. D. 1i~ishti Chairman-
• . ~ : ~ : ~ ~~`forida Industrlal Commiasion
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: ry 4 . 0~~ PA
' ' 110
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