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?OAY ~LA. YC-I~ IAEY. ~-1-`~)
STATE OF FLOBIDA ~
FLORIDA INDUSTRIAL COMMISSION
TALLAHASSEE Account No. t
;
NOTICE OF TAX LIEN Lien No ~'3~
Pursuant to the provisions of Section 443.15 (3) (a). Florida Statutes. known as the Floiyda Un-
employment Compensation law, notice is hereby given that there have been assesseci, pursuant to the
provisions of said law, a~zainst ~~ner Jr. T~A ~t Ccast Pl~asterfn6
~428 Byron Street. Ft. Pierce, Floriaa 33~+~50
an "employer'` liable for the payment of contributions to the Unemployment Compensation Fund of
Florida~ pursuant to the provisions of said law~ the sum of $ 8~'~ covering the following
contributions, interest and penalties, which after demand for payment thereof remain unpaid. and
that by virtue of the above mentioned law the amount of said contributions (taxes), together a~ith
penalties. interest, and costs that may accrue in addition thei~eto, constitute a lien in favor of Florida
Industrial Commission upon the title to and interes[. whethei• legal or equitable. in any real property, _
chattels re~tl. or peisonal property of said employei•. .
Periais for which contributions, interext, and penalties have been assessed. and the amounts
thereof. are as folloHS:
~
~ INTEREiT TMROYGN r
~ rE!lIOD CONTRIOUTIONf ~ ~N~~ ~
~ 6 pg m ~ ' ~
~ ~o ~o .
~ G: A ~
1 ~ 2 .l ~ ~:ts N m2
(~2 c o c ~
1 5 -
A
]2 ~ ~ - ~
kth 1 45 88 3 21
-t v
4 ~
~
~ TOTAL ~ '
«'ITNESS THE OFFICIAL SEAL OF THE FLOP.IDA INDUSTI~IAL COMM~SSION and the hand
of the Cliai~Tnan thereof, at Tallahassee, Florida, this ~~1ay of . A. D. 19 ~
. y+~~Y '
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SEAL' i±i~~'~~~
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~~_:~~t,.Tr-` -
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:7 ~ _ Vk' . Irmsn
i~ ~ ` - = Fton I trialCommfufon
~ O • .rc ` s - ; w
' ` ~ ~y ~ . ~ Th~s instrumcn! prcpartd by:
= ~ ~ " - . Q~y _~iC A. BoOtt ~
~,E'.-'~ 60U~~~ ~Ei 5~ Flonda Induslnal Co~nmis9~un ~
'a~a» ~ c
* ~ , ~ ~ ~ , Caidwcll Bldq., Tatlahosstt. Fla. ~
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