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STATE OF FLOR.IDA
FLORIDFi INDUSTRIAL COMMISSI~N
TALLAHASSEE Account No._ i
i~i~tfi
~101'ICE OF TAX LIEN Lien No.
JgOPARDY
Pu2•suant to the provisions of Section 443.15 (3) (a), Florida Statutes, known as tl~e Florida Un-
emplo~•ment Compensatior. law, notice i~ hereby given that there have been assessed, pursuant to the
provisions of said law, against Donald b. Har~ar _~A trQZ1~.~afeter~._
an "emplo~•er" liable fur the payment uf contributions to the Unemployment Compensation Fund of
Florida, pursuant to the provisions of sai~~i law, the sum of ~-61 _ _ covering the following
contributions, interest and penalties, wfiich 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 fa~ or of Florida
Industrial Commission upon the title to and interest, a-hether legal or equitable, in any real property,
chattels real, or personal property of said employer. _
Periais for which contributions, interest, and penalties have been assessed, and tite amounts
thereof, are as follows :
INTERE3T TH~{OUGH .
rER10D COW7RIBUTIONB PENALTIES
~
_ , - 5~ ~ IN
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.."v~,~? ,:+k . .
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TOTAL V ~ ~ ' G~
~VITNESS THE OFFICIAI, SEAL OF THE FLOP.IDA I:~DliSTRIAL COMbIISSIO~T and the hand
of the Chairman thereof, at Tallahassee, £°lorida, this~~_.__._day of 8~~~' 19
`45~~ ~
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. _ ~ ~ - • ~ D iTrigh ~2' Chalrman
• '~~y,:^~'t f:`U ~ ~ lor~da Industrial Comm:ssioh
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