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Form Fla. L'C-18 (Re~•. 3-1-6t) , ~
STATE OF FLORIDA ~ ~ ± ~ ~ ~ ; ~ ;
FLORIDA INDUSTRIAL COMMISSION
TALLAHASSEE Account I~To._~i8u -
N01'ICE OF TAX LIEN Lien No._-__~"383_~
Pursuant to the provisions of Section 443.15 (3) (a), Florida Statutes, know~n as the Florida L'n-
employment Compensation law, ~otice is hereby given that there have been assessed, pursuar~t to the
provisions of said law, against ~~~s J~s~ I,r,~vtirora T1TA-1~1t~~fRr i~~
- - 76TT ~i11ie $treet~s'i~'L~.__~].S?Z1~ _
an "employer" liable for the payment of contributions to the Unemployment Compensation Fund ot'
F1ori~a, pursuant to the provisions of said law, the sum of ~$'~•?l_ _ covei-ing the ~pl~ ~~~ng
contributions, interest and penalties, which after demand for payment tliereof remaiq:~hp fi~.,
~ that by ~•irtue of the above mentioned law the amount of said contributions (taxes~=;~~i'}~',~ker• i~f~~'~;•
penalties, interest, and costs that may~ accrue in addition thereto, constitute a lien ia €$'~vAY ~bf Flo
Industrial Commission upon the title to and interest, w•hether legal or equitable, in~%~a~ prop~2•ty;',
chattels real, or personal property of sxid emplo~ er. t c' _
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Periods for which contributions, interest, and penalties ha~~e been assessed, =$rit~':t~le ,amoa~n~~'• ~
thereof, are as follo~vs: "G:l•.,; : ;t~`-
INTEREST THROUGH ~ ~ ~
rER10D CONTRIOUTIONB PENALTIES ~
~
, RECORDED
~ 0 ~
~ 'ss
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~ ~i
~ TOTAL 1~ ~E COUNrY,' op
~'VIT:~'ESS THE OFFICIAL SEAL OF THE FLORIDA IIv'DU~TKIAL COMMISSIUI~' and the tiand
~
of the Chairman thereof, at Tallahassee, Florida, this~-__day~ af A. D. 19~5
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