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- STATE OF ~'LORIDA ~OG~R ~o,~i ra,, c~E~K
. S7. LUCIE COUNTY,
- ..~LC7RIDA INDUSTRIAL COMMISSION ~ ~o R i o A
TALLAHASSEE Account ~o.___Q3Q~8$-C__
~iO'1'ICI~: O~' '1'At I,li~;~i Lien :~•o.__~-~87--------
Pui•~uant to ti~e pravi~ians of Section ~3.15 (3) (a), Florida Statute~, k~io~~•n as the Floi•idx L'n-
em~~lo~~mer.t Cornpensation ]a~v, notice is herel~~~ Ki~~en that there lia~~e }~een assessed, purstiant to t.!ze
~~2•o~~i,ions c.~f ,~iid l~t~•, ~~,*ainst &__P__T~I~ InC~_.-_(E`I~Ie3t `~Qrk C~lg~ti~__~~~Bat~in----
. e..~. i] iL-----~ ~_Qa_ BUX 13~-~--------'Z'.O~i._~1~.'~'"~`~_~~2"1~- .__--_-~34'-s`~--
an "empic~~•er" liable fer the payment of contrit,utions to the L'nemplo~•ment C~~mpensation Fund of
Flc>i•icia, ~~ui•~uant to the prc~~•isions uf sxic~ la«•, the sum of s1~33__ eovering tlie fullo~•in~
contributions, interest and penaliies, which after demand for pay~ment thereof remain unpaicl, and
that b~~ ~•irtue of the aho~~e mentioned law• the amount uf said contributions (taxes), together «-ith
penalties, interest, and costs that may accr•ue in addition thei•eto, constitute a lien in favor of Florida
Industrial Commission uison the title to and interest, ~~•hethPr legal or equitable, in ~in~• real pro~~ert~•,
chattels real, or ~el•s~~n~ll propert~~ of said em~~lo~•er.
Pericxis for ~ti•hich ca~ntril~ution~, interest, and Penalties h<i~-e i~een a5•essed, anci the ~ii1101111t:i
ti7ereof, are as folla«~s:
INTEREST THROUCaH
PERIOD CONTRIBUTfONS - ~o~~~^~~ 1 _ _ ' M'ENALTIES
U~tar~t:er 19h5-----~- ~
I j
-
I
- ~ . .
~ i _ - . . .^r> .
_ - - i I . . _ _w,'_: .
- ~ _ - . - .
_ _ ~ ~ .
~ i '
- ---T- -}---4 i
- ~ - ~ ! _ _ -
-T----_
~
TOTAL ~ 1
~t"1'1'tiF:SS THE OFFICI~L SEAL OF THE FLO~:IDA I~D~'STRIAL CO~tliIS510N anc~ tti~e hanci
c~f the Chaii-man t}ler•eof, at T~llahassee, Flo~•ida, tiii~_16th day oiNoveznber A. D. 19 65•
SF~;:~L ~
' .`s~ - c~• D• WI'j.~1 a71'• Chatrman
~ ` . , _ - Florlda Industrial Cc~mmission
, . " - . .
f• - l . .
~ ~ BODK 132 248