HomeMy WebLinkAbout1033 STATE OF FLORIDA
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Ui~'ItiIU\ Oh t.:1BOK a\U ENPLOl'NI~:NT Of'1'ORTI':~ITIEti -
TALLAHASSEE Account No. 111282
Lien No. K-2(X
NU'I'ICE OF T~1X L1EN
J E O P A R D Y
['urcuant to ti~e proci.ions of Section -~~t3.15 (.4) (a), Florida Statutes, known as tl~e Florida t'n-
empto~•ment Compere~xtion l.~a•, n~~tice is herrbr fii~~en that there ha~e been assessed, pursuant to the
provisions of ~All~ IRK', a~:?inct Ar:iold Hi€~rinbotham
P. 0. P,.,x 113~+
~`t. Pierce, Florida 33~50
an "emploi•er" Gah1e tc~r the payment of cuntriUutionx to the lTnemplo~•ment ('~~mpensation Fund of
Florida, pur~uant .o the pro~isions uf s:iid la~~. the sum of 214.~5 _ cu~ering the follo~sing
contributiuns, interest and penalties, ~~hich after demand for pxyn~ent thereof remain unpaid, and
that br rirtue of the alx~re mentioned laH the amuunt of ~?id contributions (taxes), together H•ith
penalties, interest, and c~~~ts that maS• accrue in :i~l~lition the~~eto. constet~te a lien in favor of 3tate of
Fiorida I)epartment of l'om~nerce upc~n the titie to .ind intene~t, v?hethe~• leA~l or equitable, in an~• real
prnpert~•, chattels real. ~~E- p~~:tiunzl pronertti of said employer.
Peri~xj~ for ~hicli conh•ihut:ons, intere.t, :+nd penaliies ha~e been assessed. and the amounts
thereof, are as foll~~.cs:
INTEREET TMROUGM
?EIIIOD CpNTRISUT10N5 ~ Q~ 1 PENALTIES
~ ,
' %~t'1 ~;zarter 1~ ~ 2 3 6~ 5 00
~ ~ ~
; ~ FILEQ ~?ND RF AOEO
~ , ~ IIOCER F~{ AS R
- E
+ RECORO vERIFIEO
, } e i
.7
~ 3: ~
~ ,T
+
, ;
; ~
ToT~~ ~
20 00
N'IT\ESS TIIE OPtI('1:~1, Si~::IL U!' TNh: tiT:1T1~: (/F Fl.OHIU:1 l1h:P:1RTNEtiT 1)F ('(1~1~1EH1'E
and thr hand utthe Uirector of the Ui~-ision of labor and Employmen! i)pportuniiies thPre^!. ~t T,.ilpha~..ee.
t'lurida, thix l~t da}• of J:.Z•~ ,:1. 1). 1971.
, tiTA ' OF FLORIUA
`h:AL ' ; " UE:N. TNi~:IYT tl ' ('O;1~tE
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Tliis in~~typ~t~t D~~P~ted by : ' -
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~~2'~~~~•_ ter ~ U~RECtUR~(HV~SIOHa7f
IkQSArtM d4 ~~/wUle~C~ t A ANp EMP~OYMENT OPPOpi It~ES
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